ANNUAL REPORT 2015
IRISH DENTAL ASSOCIATION 2015
SUB COMMITTEES
HEAD OFFICE
BOARD OF DIRECTORS President
Fintan Hourihan
Dr Anne Twomey
Chief Executive Officer
Accreditation Annual Conference
Elaine Hughes
CED
Vice President
Honorary Secretary Designate
CPD
Dr Peter Gannon
Dr Gillian Smith
JIDA
President Elect
Honorary Membership Officer
Dr PJ Byrne
Dr Frances O’Callaghan
Honorary Secretary
GP Group Rep
Dr Maher Kemmoona
Dr Ryan Hennessy
Honorary Treasurer
HSE Dental Surgeons Rep
Dr Ronan Perry
Dr Iseult Bouarroudj
Assistant Chief Executive Roisin Farrelly
Membership
Employment/Communications Officer Mena Sherlock
Public Relations
Personal Assistant to CEO Sinead Kelly
Quality & Patient Safety Scientific
Accounts/Admin Marie Walsh Reception/Admin Fionnuala O’Brien JIDA Co-Ordinator and Admin Assistant Kat Cameron Marketing and Events Admin
COUNCIL OF THE IRISH DENTAL UNION North Munster Branch Representative:
President:
GP Group Representative:
Dr Anne Twomey
Dr Ryan Hennessy
Dr Eoin Mullane
HSE Dental Surgeons Group Rep: Vacant
Vice President:
HSE Dental Surgeons Group Rep:
Munster Branch Representative:
GP Group Reps:
Dr Peter Gannon
Dr Iseult Bouarroudj
Dr Mairéad Browne
Dr Clodagh McAllister
President Elect:
JIDA Representative:
Kerry Branch Representative:
Dr PJ Byrne
Dr Dermot Canavan
Dr Susan Crean
Honorary Secretary:
Elected Members
Metro Branch Representatives:
Dr Andrew Kelly
Dr Maher Kemmoona Honorary Treasurer:
Dr Susan Kiely
Dr Michael Lavin
Dr Saoirse O’Toole
Dr Laura Houlihan
Limited Practice Rep: Dr Stephen Murray CED Representative: Dr Robin Foyle
Dr Liam Lynch Western Branch Representative:
Dr Ronan Perry South Eastern Branch Representative: Honorary Membership Officer:
Co-opted Members:
Dr Paul Murphy
Dr Brendan Fanning
Dr Barry Power
Dr John Adye-Curran
North Western Branch Representative:
Dr Frances O’Callaghan North Eastern Branch Representative: Honorary Secretary Elect:
Dr Seamus Rogers
Dr Rory Fleming
Vacant
Dr Gillian Smith
UNION BRANCHES Kerry
Munster
North Munster
South Eastern
Metropolitan
North Eastern
North Western
Western
All listings above as of December 31, 2015.
2
Irish Dental Association | Annual Report 2015
CONTENTS
The IRISH DENTAL ASSOCIATION exists to promote the advancement of the interests of the dental profession and promote the wellbeing of our country’s population through the attainment of optimum oral health.
CONTENTS President’s Report
4
Chief Executive’s Report
6
Honorary Secretary’s Report
16
Honorary Treasurer’s Report
17
Group Report
18
Committee Members
19
Committee Reports
20
Branch Reports
27
Financial Report
29
Motions for AGM
49 Irish Dental Association | Annual Report 2015 3
PRESIDENT’S REPORT
Let me begin by thanking you all for the trust you have shown and the honour
do not simply want a restoration of the old scheme, but instead we are calling
bestowed on me in serving as President of the Irish Dental Association. It truly
for an entirely new scheme to be negotiated with the IDA.
was a wonderful privilege and I am grateful to everyone who has helped me
The hearing of the appeal to the Supreme Court was an extremely important
over the past year.
landmark for the profession, and while we were bitterly disappointed at the
I would like to congratulate all those who helped to make the Annual IDA
outcome, I think it was vital that we stood up for the profession and our
Conference in Cork such a great success, including those members of the
patients in the face of cynical and unprecedented cuts by the HSE. We will
profession who attended, the dental trade, members of the other dental
dust ourselves down and ready ourselves for more battles ahead, and also
professions, our speakers and guests, but most particularly our organising
look to reduce the reliance of members on third-party schemes, which can be
committee, who played such a huge role in preparing and paving the way for
torn asunder without any engagement with the profession.
such a well-received Conference. A very positive feature of the Conference was the strong media interest shown
Advocacy
in the concerns we voiced in regard to hidden sugars in sports drinks, and this
One area that unites our profession, and on which we must continue to
is an area I feel needs to be prioritised in the year ahead. I am keen to promote
campaign strongly, is the issue of children’s oral health. It is an issue that the
links with the sports governing bodies, and all who have an interest in
IDA highlighted with great success during the HSE Seminar, in many local and
promoting oral health but who may not be fully aware of the extent of the
national radio interviews and in the print media.
hidden sugars in many so-called energy drinks. It was truly shocking to learn
Figures compiled by the IDA prior to the Seminar show that waiting times for
that as many as 54 alternatives to sugar are listed on labelling for sports
young children with chronic dental infections are now up to 12 months, and
drinks; clearly there needs to be a huge investment in education and
that every year up to 10,000 children under the age of 15 in Ireland are being
awareness to prevent unnecessary erosion and decay.
hospitalised for dental extractions under general anaesthetic.
The decision of the Irish National Teachers Organisation to publish good oral
As I stated in the interviews, 95% of these cases would have been avoided
health advice and warnings on hidden sugars was a particularly important and
if they had been detected and treated earlier. The reason they weren’t
valuable collaboration with a sister profession that I enjoyed during my
is because of Government cuts to family dental supports since 2010,
presidency. Indeed, it was one of many similar initiatives I pursued, and which
the constant undermining of what had been a highly effective school
I hope will build a new platform beyond dentistry.
screening service, and the fact that too many of our young people have
One of my first official engagements was to attend the WiDEN seminar, where
a poor diet containing too much sugar.
Dr Michele Aerden was a compelling speaker who offered inspiration to us all.
I was shocked that in response to the IDA figures, Ministers and HSE
It was great to see so many colleagues in attendance, and to see that we have
spokespersons were more interested in scoring points over numbers rather
so many committed colleagues prepared to take the initiative in supporting
than engaging with us and asking why a preventable disease is being managed
these types of events.
in such a way. Their response reveals a failure to understand that these
Soon after, I was on the road again to attend the stakeholders’ consultative
children endure immense pain, discomfort and sickness from a preventable
conference organised by the Department of Health in Thomond Park,
disease that should be caught much earlier. Also, we as dentists know that
Limerick. It was a very stimulating and interesting day, and it was certainly
this is not the best expenditure of taxpayers’ money. The Ministers and their
encouraging and refreshing to see members of the dental profession from so
spokespeople do not appear to understand the emerging shape of DMFT in
many different backgrounds involved, and their views sought on the day.
children. Although the overall average is down, we are now seeing 25% of
Obviously, we all want to see the fruits of the exercise, and will continue to
children experiencing 80% of the decay.
engage with the Chief Dental Officer, Dr Kavanagh, and her advisers. We are
Incidentally, the HSE Seminar was a great success and I would like to
very keen to seize every opportunity to promote the oral health agenda, and
congratulate the Chair of the HSE Committee, Dr Frances O’Callaghan, and
to play a meaningful part in shaping a long overdue new oral health policy.
wish her well in the role, as she is continuing on as Chair in 2016.
Budgetary disappointment
Good governance
I, like all dentists, was extremely disappointed that Budget 2016 failed to
The IDA Board of Directors adopted the recommendations of an independent
address any of the cutbacks in dentistry. This is despite some indications in
governance review at its January Board meeting.
the run-up to the Budget that serious consideration was being given to the
The Board also agreed on an action plan to pursue a number of recommended
restoration of some benefits. However, it is worth pointing out that dentists
changes arising from the review, which you can view on our website.
4
Irish Dental Association | Annual Report 2015
The governance review of the IDA/IDU was conducted over 12 months by an independent and expert consultancy, Better Boards, which focuses on increasing board effectiveness. A governance review is a key tool for boards in assessing the current practice of governance in their organisations and in identifying practices to retain and ones that can be improved. The review was thorough, and included robust internal and external evidence of the IDA’s current practice, comparisons with comparable organisations, and the literature on best practice and significant issues being addressed in other organisations. The independence of the consultants, and the comparisons with other organisations and the relevant codes, made this a challenging and credible review. The evidence showed that the IDA/IDU governance practice is in the ‘good to very good’ range. Maintaining this standard will require the continued work of the Board/Council and the executive team. Some strengths include: the current governance structures; the commitment and dedication of officers, members and staff; the working relationships; and, the culture of commitment to the highest standards. To increase governance standards further, but not from the perspective of needing remedial work, more work is needed on aspects such as: broadening representation on Council and committees; oversight and accountability of branches and sub-committees; the pipeline of member volunteers trained and willing to serve on the governance structures; some further clarity on the framework of delegations; communication; and, the sense of belonging among members, particularly outside Dublin. The review also examined the area of remuneration for staff employed by the IDA, including our Chief Executive. It endorsed the structures in place, such as the Remuneration Committee, which obtains independent expert advice regularly in determining what it regards as appropriate remuneration to attract and retain the highest calibre of staff. Independent experts have verified that salary levels are appropriate (and are within the range for comparable organisations) for our organisation. Members can be assured that robust governance structures are in place in regard to remuneration, without any risk of legacy issues in terms of pension contributions or contract terms and conditions, and have been validated by the recent governance review. Overall, the review was reassuring and encouraging. It is vital that current good practice is recognised and retained. A detailed work plan is in place and underway to address these areas for raising the bar in the IDA’s governance practice. This is in the spirit of the IDA’s ambition and standards.
Dr Anne Twomey IDA President
Irish Dental Association | Annual Report 2015 5
CHIEf ExECuTIvE'S REPORT
Advocacy Oral health policy
European Parliament briefing on mouth cancer
In May 2015, the Department of Health organised a stakeholders’ consultation
The Association was represented at a briefing in the European Parliament in
day as part of its preparation of a national oral health policy. The Association
Brussels on the role dentists can play in saving lives, and in particular their role
was represented by Drs Ryan Hennessy, Frances O’Callaghan and Gerard Cleary,
in relation to preventing, detecting and treating mouth cancer. Dr Conor
as well as Chief Executive Fintan Hourihan. Also present were IDA President
McAlister made a presentation on the great success of Mouth Cancer Awareness
Dr Anne Twomey, Dr Peter Gannon, Dr PJ Byrne, and representatives of a
Day in Ireland, while Lia Mills also offered testimony of her own experience in
number of other stakeholders.
overcoming mouth cancer. Six Irish MEPs were in attendance at the briefing –
IDA representatives expressed concerns regarding the lack of information about
Deputies Lynn Bolan, Matt Carty, Nessa Childers, Brian Hayes, Sean Kelly and
both the needs assessment, understood to have been undertaken by the
Mairead McGuinness.
Department of Health, and any research that had been undertaken as part of the Oral Health Policy Review. The Association will make a formal submission
National Cancer Strategy Plan
to the Oral Health Policy Review Group at an appropriate stage.
Elaine Hughes, IDA Assistant Chief Executive, represented the Association as part of a delegation presenting Minister Leo Varadkar with the submission for the
Meeting with Minister for Health
National Cancer Strategy Plan on behalf of Mouth Head & Neck Cancer Awareness
In June 2015 IDA Chief Executive Fintan Hourihan and President Dr Anne
Ireland.
Twomey attended a meeting with the Minister for Health, Dr Leo Varadkar. The discussions centred on restoration of dental benefits under the Dental Treatment
Health Sector Consultation
Benefit Scheme (DTBS; PRSI scheme), as well as restoration of certain
The Second Annual Health Sector Consultation took place in September. At the
treatments under the Dental Treatment Service Scheme (DTSS; medical card
consultation, IDA Chief Executive Fintan Hourihan pressed for investment in oral
scheme), and in particular, relaxation of the limit of two fillings per patient.
health and expressed regret that there was little attention paid to oral health at the meeting.
National Oral Health Forum A meeting with Minister for Health Dr Leo Varadkar, and Minister of State for
Building links between oral and general health
Primary Care Kathleen Lynch, took place in June, and was attended by the
The Association prioritised the building of new connections with alliances and
Deans of the Dublin and Cork Dental Schools and of the RSCI Faculty of
organisations where common interests exist as regards promoting better general
Dentistry (Professors June Nunn and Martin Kinirons, and Dr John Walsh), and
and oral health. In 2015, the Association wrote articles for the Irish Kidney
IDA Chief Executive Fintan Hourihan. The purpose of the meeting was to brief
Association and Diabetes Ireland, the Irish National Teachers Organisation (INTO)
the Minister on the findings of the first ever report of the National Oral Health
and Age Action Ireland. Contact was also established with the Irish Nurses and
Forum. The focus was on two recommendations in particular, the need to
Midwives Organisation, and it is hoped that further progress can be achieved in
introduce a new foundation training scheme for graduates, and the need to
this area in the years ahead.
prioritise dental care for under sixes. The National Oral Health Forum, which comprises representatives of the Dublin
New infection control standards published
and Cork Dental Schools, the RSCI Faculty of Dentistry and the Irish Dental
The Dental Council published new infection prevention and control standards in
Association, was established in 2013 to seek to build a consensus among the
2015 following an extensive consultation exercise in which the Association played
dental professions on priorities for Government to address the current
a prominent part. The guidelines were launched at the Association’s AGM in Cork.
difficulties in oral health in Ireland.
The Dental Council’s new guidance regarding infection prevention and control,
The Report of the National Oral Health Forum included recommendations such
and separately, continuing professional development, deserve careful and critical
as prioritising the introduction of a foundation training scheme for dental
examination by all dentists.
graduates, prioritisation of resources towards younger patients, and the need
In our rush to judgment, we can often lose sight of the fact that this is guidance
for a number of other initiatives that would address capacity and delivery
for the profession that is intended to reflect best practice and scientific progress.
deficits in both public and private settings.
We can argue whether guidance ought to be evidence based or evidence informed,
6
Irish Dental Association | Annual Report 2015
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Irish Dental Association | Annual Report 2015 7
but at the very least dentists should be satisfied that regard has been had to known
community water fluoridation is associated with positive or negative systemic
risk and, to a lesser extent, that there has been some anticipation of possible risk.
health effects.
This was very much the concern reflected in the searing and lengthy IDA critique
IDA President Dr Anne Twomey said that the Association will study the findings
of the initial November 2013 draft infection prevention and control code of practice
carefully: “The review found no definitive evidence to link fluoridation to increased
circulated by the Dental Council. While reservations remain, we must acknowledge
bone fractures, reduced IQ, cancer, heart disease, kidney disorders, Down
that the Dental Council has responded to many of our chief concerns. These include
Syndrome or increased mortality from all causes. In relation to an alleged link to
the provisions relating to decontamination units, the use of washer-disinfectors,
bone cancer, it said the literature pointed to “mixed” effects and no link had been
autoclaves, and changes as regards infected staff receiving treatment. Setting out
proven”.
acceptable standards rather than unattainable doctrines will be shown to produce
“The HRB review follows 15 major peer-reviewed studies of fluoridation
a better mitigation of risk in years to come, I have no doubt.
undertaken across the world by recognised academic authorities in the past 20 years. None of these major reviews has concluded that community water
Highest standards
fluoridation poses a known risk to general health or has suggested halting water
We make no apology for supporting regulation of the highest standards of dental
fluoridation. These, and other reviews which dealt solely with oral health, show a
care where such standards are appropriate, proportionate, and where due account
significant benefit to dental health and through this to general health,” Dr Twomey
is taken of the cost of implementation as against the likely level of risk.
concluded.
It is also vital that the Dental Council takes seriously its responsibility to pursue those who seek to sell the profession and our patients short at the expense of the
Children’s oral health
overwhelming majority of the profession who are committed to bearing the cost
In October 2015, the IDA had a successful media campaign highlighting issues of
associated with regulation. That is why new legislation is required to give the
children’s oral health, and in particular the number of children requiring tooth
Council powers to tackle the small number who tarnish the good name of dentistry
extraction under general anaesthetic. In addition to articles in many newspapers,
in Ireland. Equally, the State must be brought to task for affording no assistance
IDA Chief Executive Fintan Hourihan, President Dr Anne Twomey and other
to dentists who comply with standards set by the Dental Council. Why, for example,
representatives were interviewed on local and national radio, and appeared on
will the HSE arrange to collect clinical waste from a doctor in general practice but
television news bulletins. The HSE disputed the IDA’s figures, and said that it is
not the dentist treating medical card patients next door? We will be seeking
planning a national audit on general anaesthetic waiting lists for children, and for
financial support towards the cost of implementation from the State in forthcoming
those with special care and special needs.
discussions.
Following this, the IDA Chief Executive wrote to the Minister for Health: “I refer to the recent public debate about the difficulties apparent in the oral health of our
CPD imperative
children and welcome a timely and comprehensive audit of the extent to which
As an Association, we will assist members through the dissemination of best
children are being admitted for dental treatments under general anaesthetic in our
practice and the provision of appropriate education and training. The new guidance
hospitals. The Association believes that the extent of this problem is greater than
on CPD from the Dental Council should also be studied closely, given that all
existing official statistics suggest, and we would be most anxious to be consulted
dentists are obliged to engage in CPD, and this will be the subject of further new
on the administration and system of collection, the methodology and basis for
legislation shortly. The new core competencies are appropriate and, in fact,
calculation of such statistical recording systems in the future. We are acutely aware
members who have been attending IDA programmes in recent years have been
that persistent and complex discussion of statistical methods and information may
provided with support in most if not all of these areas prior to their formal
on occasion deflect from the urgency of patient care and important clinical issues.
recognition by the Council. Again, we will be redoubling our efforts to assist
It is commonly accepted that there has been a significant deterioration in the level
dentists to meet their CPD requirements, taking account of the new guidance from
of service provided, and particularly the extent to which preventive care and
the Dental Council.
screening is taking place in schools, with the consequence that children are seeing their dentist for the first time at far too late a stage in their development”.
Fluoridation The Association welcomed the findings of a review by the Health Research Board,
Sugar Crash documentary
which found that there is no definitive evidence that community water fluoridation
In October 2015, Dr Anne Twomey was interviewed for a television documentary
has negative health effects. The HRB said that having examined the research
on sugar. She highlighted the issue of hidden sugars in foods and drinks, and called
available, and excluding dental health, it had found no definitive evidence that
for a better and simpler system of food labelling. The documentary, entitled Sugar
8
Irish Dental Association | Annual Report 2015
Minister for Health, Dr Leo Varadkar TD, with (from left) Elaine Hughes, Assistant Chief Executive of the Irish Dental Association; Professor Denise MacCarthy of the Dublin Dental University Hospital; and, Etain Kett of the Dental Health Foundation on Mouth Cancer Awareness Day 2015.
Dr Anne Twomey on RTÉ’s Sugar Crash.
Crash, was aired in January 2016 and opened with a four-year-old child having tooth extractions under general anaesthetic in an operating theatre. Dr Anne O’Connell of the Dublin Dental University Hospital was also interviewed during
in the number of children requiring dental treatment under general n
anaesthesia? Please outline your policy in regard to dealing with the 20% reduction in the
the programme. The programme prompted widespread public discussion about
number of dentists employed by the HSE to treat children and special care
sugar and tooth decay.
patients, including severe restrictions in school screening and in providing
Mouth Cancer Awareness Day 2015
n
The sixth annual Mouth Cancer Awareness Day was held on September 16 and the
routine dental treatments, against a backdrop of increased need and demand. Please set out how you would address the problems arising from the decision to impose savage cuts in dental benefits on those entitled to assistance under
focus of this year’s campaign was on highlighting the dangers of the disease to
the medical card scheme (DTSS) and the PRSI dental scheme (DTBS) since
the rural community. Organisers wanted everyone who lives in rural areas to
2010 and in each subsequent year?
become aware of the disease, to go to their dentist or doctor if they have any
n
Please outline how you believe you could best assist dental practices
concerns, and to have a dental check-up on a regular basis.
throughout the country, which employ over 7,000 people directly and
A total of 300 cases of mouth, head and neck cancer are detected in Ireland each
indirectly, and which still receive no State support, in contrast to the extensive
year, with over 100 deaths: that’s almost two people every week. Although not as
supports provided to other primary care providers such as medical practices,
well known, mouth cancer kills more Irish people than skin melanoma. Farmers are
other small businesses and large multinationals?
generally viewed as poor attenders at doctors and dentists.
n
Please advise on how you would propose to address the linked issues of early childhood caries and the extensive waiting lists for orthodontic care and
General Election campaign
treatment for children?
In advance of the General Election campaign, the IDA contacted the main political parties and political groupings to seek their views on a number of critical issues
Members were also encouraged to put these questions to their local candidates,
relating to the nation’s dental health. The questions sent to the political parties were
and to prioritise oral health issues during the run-up to the election.
as follows: n
n
What are your views on how best to address the dental health crisis arising
Media coverage
from the huge increase in sugar intake – please indicate specifically your
The Association issued a number of press releases during the year that attracted
views in regard to a sugar tax and, separately, your position on legislation to
significant media coverage at both national and local levels. All press releases can
increase greater transparency in labelling on food and beverages to indicate
be viewed in the 'News' section of the IDA’s website.
the level of sugar contained within, and curtailing advertising/promotion of
Spokespersons for the Association also participated in a number of radio and print
those high sugar items, especially to children and young adults?
interviews on a range of topics throughout the year. We are grateful to all who gave
Can you advise how you would propose to address the unacceptable increase
their time to take part in these interviews.
Irish Dental Association | Annual Report 2015 9
JANUARY
FEBRUARY
MARCH
APRIL
n A healthy mouth means healthy savings
n Every breath you take: dentists warn that halitosis can spoil Valentine's
n IDA comments on shocking new orthodontic waiting lists
n New research shows hospital admissions for severe dental infections up 38% n Irish Dental Association highlights dangers of hidden sugars in ‘healthy lifestyle’ diet
MAY
JUNE
JULY
AUGUST
n FDI President Michèle Arden addresses Women in Dentistry Network
n Dentists welcome findings of new review on fluoridation
n 2014 Annual report for Dental Complaints Resolution Service published
n IDA welcomes launch of new mental health support programme for health practitioners
SEPTEMBER
OCTOBER
NOVEMBER
DECEMBER
n Mouth Cancer Awareness Day n IDENTEX
n International Council and European Section of the ICD meet in Dublin n 10,000 children under 15 are being hospitalised every year for dental extractions under general anaesthetic
n Munster ASM n IDA criticises breach of privacy protections for dentists
n Dublin dentist wins Sensitive Dentist of the Year Award – Dr Karl Cassidy wins for his timely referral of a patient for further medical investigation, which saved his patient’s life
10
Irish Dental Association | Annual Report 2015
Services and Benefits Dental Complaints Resolution Service The 2014 Annual Report for the Dental Complaints Resolution Service was
Association. For dentists in general practice for at least three years post
published in June. It showed that in 2014 there was a record amount of activity
graduation, annual savings of up to ¤1,700 are available to IDA members who
for the Dental Complaints Resolution Service, meaning that patients and dentists
avail of the full 15% discount available for risk credits. For dentists working in
benefitted from the resolution of complaints quickly, in an informal manner, and
the HSE, where indemnity is provided by the Clinical Indemnity Scheme, and in
at no cost. They were not obliged to retain legal representation or to encounter
membership of the IDA, total savings can range from between ¤124 and ¤268
lengthy and costly delays.
per annum (for dentists who work up to 150 hours privately) and up to ¤663
The level of activity for the service has been consistently high. In 2014, 384 calls
where they also work between 150 and 500 hours in settings not covered by the
were received and 1,250 emails, from which 158 complaints emerged. For the
State’s Clinical Indemnity Scheme.
12 months to March 2015, the website attracted 17,439 visits or just under 60,000 hits.
Free access to ADA publications
At the end of 2014, a review of the Service had been carried out for consideration
IDA members have free, exclusive access to the Journal of the American Dental
by the Board of Directors of the Irish Dental Association and the Council of the
Association (JADA), which publishes very worthwhile practical articles for all
Irish Dental Union, with the objective of reviewing the operation of the Dental
dental practitioners. The JADA would ordinarily cost a dentist $225 or ¤200 per
Complaints Resolution Service and to propose recommendations for change and
annual subscription.
improvement in its operation.
Under a new feature, once IDA members have created an account on the JADA
The review reflected interviews with a small number of individuals intimately
website, they can also use their username and password to access the JADA on
acquainted with the operation of the Dental Complaints Resolution Service, the
the new Apple and Android apps, which launched in 2015. These apps can be
findings of a survey of private practice dentists conducted by the Association, and
downloaded from the app store.
a review of a sample of cases conducted with the kind assistance of two dentists,
Only IDA members can access the JADA and the Professional Product Review as
two DPL representatives and a senior official from the UK Dental Complaints
a result of an agreement between the IDA and the American Dental Association.
Service. It was found that extra resources will be needed to enable the Service to cope with the increasing level of enquiries being received, lessons learned from
Mentoring
the first-ever review, and also reflecting best practice and good governance.
The Irish Dental Association Professional Mentoring Programme continued in 2015.
In 2015, a dental adviser was brought on board to help the facilitator of the
The Association approved the Professional Mentoring Programme in response to
Service, Michael Kilcoyne. It is also expected that a part-time administrator will
a clearly identified membership desire, and need, following a comprehensive
be hired in 2016.
membership survey. Accordingly, the IDA Professional Mentoring Programme has been designed to be rolled out on a pilot basis over 2014/2015 – subject to full
Affinity schemes
evaluation, feedback and review. The Programme’s core purpose is to enable the
Most of our valuable affinity schemes continued for 2015 and the suite of
provision/sharing of informal guidance, insight and wisdom by trained IDA
offerings was added to during the year. We continued to search for new
volunteer mentors to participating mentee colleagues, over a range of professional
service/product providers and to negotiate preferential rates on our members’
practice areas.
behalf. As a result of savings made on certain services/products, IDA members can expect to save well in excess of their membership fee every year.
Practitioner Health Matters Programme
Most dental practitioners have their own credit card terminal machine, and
In September, the IDA supported the launch of a new mental health support
savings through the AIB affinity scheme could be as much as ¤3,500 per annum.
programme for dentists, doctors and pharmacists. Under the programme, any doctor, dentist or pharmacist who has a concern about a mental health or a substance misuse
DPL discount
problem can receive confidential help from experts at Practitioner Health Matters.
Our preferential rate with DPL continued for 2015, with most IDA members
The Practitioner Health Matters Programme has been designed to reflect
availing of massive savings in their DPL fee. DPL offers significant discounts to
international best practice in practitioner health, and aims to strike a balance between
dentists who can prove that they hold membership of the Irish Dental
supporting practitioners confidentially and patient safety.
Irish Dental Association | Annual Report 2015 11
WiDEN The WiDEN (Women in Dentistry) networking initiative went from strength to strength in 2015, holding a number of well-attended meetings and events. The aim of the group is to widen the network of female colleagues around the country through professional, social and educational events. In November 2015, IDA Council agreed to continue its financial and administrative support of WiDEN.
CPD/training New Learning Management System The IDA launched a new CPD Online Learning Management System at the AGM
Delegates attend the reception before the Annual Dinner.
in Cork. This will mean that IDA members will be able to book and pay for CPD courses online, record their own CPD activities, and read and record Journal of the Irish Dental Association articles. Non-IDA events can also be recorded by members onto the system. Users can search for courses that may be relevant, or search different locations. Once the dentist has paid for the course online, they will receive an automated email confirming the details of the course. When the course is completed, a certificate of attendance with the relevant CPD points on it will be available to download and/or print. Dentists also have the option of looking at their CPD history at any time on the system. All Journal of the Irish Dental Association peer-reviewed articles going back to 2006 are also available for members to view and enable CPD credits. Once read, these can also be added to your CPD record.
Association Chief Executive Fintan Hourihan addresses the IDA AGM.
To access the system, just log on to the members’ section of www.dentist.ie and click on CPD. A detailed ‘How to Use’ instruction manual was posted to
treating phobic patients, and Dr Eanna Falvey on head and facial trauma in sport.
all members, and an instructional video was also posted on our website.
In the afternoon, both groups came together for the final two presentations.
Annual Conference 2015
‘Psychological approaches to dental anxiety: a proportionate approach’, and Ben
We were delighted to return to Cork for the Annual Conference in 2015, which
Goldacre made a presentation on ‘Bad Science’.
took place in the Rochestown Park Hotel. The Pre-Conference Programme on
For dentists, Saturday’s speakers included Tara Renton on the painless
Thursday featured Professor Ken Kurtz extolling the virtues of removable partial
management of the oral surgical patient, Hal Duncan on why we are failing in
Tim Newton presented the Journal of the Irish Dental Association lecture,
dentures in two half-day courses, while Drs PJ Byrne and Declan Corcoran offered
endodontic outcomes, and Ken Kurtz on post and core. In the alternative session,
advice on crown lengthening. Dr Tim Donley shared his expertise in periodontics
Stephe Fayle looked at dental caries in young children, Sean McCarthy examined
in two half-day courses – one for dentists and one for hygienists – while Dr David
veneers, and Andrew Bolas told us how to get the best diagnosis from
Clarke presented a full-day course on anterior and posterior composites.
radiographs.
Professor Terry Donovan gave a fascinating full-day course looking at a number
Meanwhile, sessions for dental nurses, technicians and hygienists looked at
of controversial topics in restorative dentistry.
communication, oral surgery, anterior aesthetic treatment, peri-implantitis and
Friday was dental team day, with parallel lectures taking place on a wide range
ultrasonic debridement.
of topics. Clinical topics included presentations on successful strategies for tooth
Clinical workshops were very well supported, and a full trade show took place
whitening from Linda Greenwall, diagnosis and management of dental erosion
on Friday and Saturday. As always, gratitude is extended to all exhibitors.
from Terry Donovan, and caring for patients with cancer from Eleanor O’Sullivan.
The social programme was essential to the success of the Conference and we all
Dr Michelle Murphy presented on dermatology for dentists, Jennifer Pinder on
look forward to returning to Cork very soon.
12
Irish Dental Association | Annual Report 2015
20%
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peOpleaTTenDeDThe iDaCpDROaDShOwS OveRThReeyeaRS.
1,700 28% CuRRenTmembeRShip
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iDa
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inCReaSe iniDa membeRShip
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Irish Dental Association | Annual Report 2015 13
IDA CEO Fintan Hourihan; Dr Evelyn Connolly; and, HSE Group President Dr Frances O’Callaghan at the HSE Group AGM.
IDTA President Peter Morris and IDA President Anne Twomey at this year’s IDENTEX.
HSE Seminar 2015 For the second year running, the Mount Wolseley Hotel in Carlow was the
education events. The strategy seems to be paying off, as there was a 20%
location for the HSE Dental Surgeons Annual Seminar in October.
increase in numbers in 2015 – an increase on what was already a strong
The seminar continued with its two-day format on Thursday and Friday only. A
attendance in 2014. Needless to say, the organisers were pleased with the
feature of the 2015 Seminar was the offer of free registration for IDA members
outcome.
with at least three years' continuous membership, and pro-rata discounts for
Entry to IDENTEX was free, and again there was a strong display of the latest
those with lesser membership. We were delighted to welcome such
products and technology from the members of the IDTA.
distinguished speakers as Professor Helen Whelton, Dean of Leeds Dental
The IDA organised a comprehensive lecture programme, with lecturers
School & Hospital, Dr Edward Cotter, prosthodontist and dental oncology
discussing employment law, communication, oral radiology and infection
expert, Dublin graduate Dr Ailbhe McDonald, Consultant in Restorative
control. A full trade show was run on both days, with over 60 companies in
Dentistry in the Eastman Dental Institute, Dr Wendy Turner, Consultant in
attendance, a large rise on the previous year’s total of 35 companies.
Periodontology and Restorative Dentistry from London School of Dentistry, and many others. We were particularly delighted to welcome back Dublin graduate
CPD Roadshow
Professor Colman McGrath from Hong Kong.
The CPD Roadshow Programme finished in Spring 2015 after a very busy and
Dr Frances O’Callaghan will serve for a second year as President, while Dr
successful three years. Over 500 delegates attended the workshops in six
Michaela Dalton was appointed as President-Elect. The meeting featured a very
different locations nationwide.
engaged debate at the Group AGM in the wake of very extensive media
We would like to extend sincere gratitude to all the speakers on the CPD
coverage around the gross deficiencies in the services for children requiring
Roadshow Programme, and to all those who availed of these CPD workshops,
treatment under local anaesthesia.
and participated in the many interesting discussions and debates.
Once again, the event was very enjoyable, educational and a great opportunity
We are also grateful to GSK Sensodyne for their generous sponsorship of the
to meet with colleagues. We are indebted also to our trade show sponsors for
programme over the final two years, and to Colgate for their sponsorship of
their strong support for the Seminar.
year one of the programme.
IDENTEX 2015 The Association joined with the IDTA for a second time in the organisation of workshops at the IDENTEX exhibition, which took place on Friday and Saturday,
Governance
September 19 and 20.
As the President reports elsewhere, the Board and Executive Committee
The Irish Dental Trade Association (IDTA) has partnered for two years now with
commissioned a governance review in 2015. Jane Williams made a presentation
the Irish Dental Association in presenting both the trade show and dental
on the corporate governance review to Council on December 4. Her report and
14
Irish Dental Association | Annual Report 2015
recommendations were approved by the Board and Council in January 2016.
Audit and Finance Committee
In a related intiative, Bernie Gray met representatives of the Board, Council and
The Audit and Finance Committee, which comprises the Honorary Treasurer, Vice
other office holders, as well as with the Secretariat, in regard to the preparation
President, Honorary Secretary and the Treasurer/Secretary Designate, as well as
of a new governance manual. Bernie identified a number of areas where clarity
two nominees of the membership, met on five occasions in 2015.
was required in regard to the operation of certain structures within both
The purpose of the Committee is to review expenditure levels, to monitor income
organisations. A proposal to have a second legal firm review the Memorandum
and expenditure against budgets, to overview savings and banking
and Articles for the Association, as well as the Union rules, with a view to
arrangements, to monitor monetary compensation payments, to review the risk
resolving ambiguities and putting greater emphasis on the role of the
register, and to advise the Board and Council as appropriate.
Association while retaining the protections associated with the trade union licence, was endorsed by the Board.
Organisational development
Consequently, Bernie recommended that we seek the assistance of Arthur Cox
Last year saw more advances in membership numbers, which again reached
solicitors, with whom she has worked on similar projects. I arranged to meet
record levels. We have exceeded total membership of over 1,700 dentists at this
with two senior solicitors from Arthur Cox, who prepared a step plan on
stage. In fact, since 2008 membership has increased by 28% overall. This reflects
governance changes, which has received approval from the Board.
a very significant increase in membership among our general practitioner
The analysis prepared by our external consultant shows that in overall terms
members, and the current membership stands at over 48% ahead of the numbers
there is a strong sense of commitment and good governance practice within
of general practitioner members in 2008.
both the Association and the Union.
Regrettably, we have also seen a haemorrhaging of membership among members
One of the very striking themes to emerge has been the need to build up our
employed in the Public Dental Service, and current figures are 43% below those
representative structures, particularly at branch level within the Union. At a
which obtained in 2008.
time when we can finally see some real prospect of negotiations commencing
Clearly, the overall rise in membership reflects the significant increase in benefits
on a replacement of the schemes in place for medical card and PRSI eligible
and services afforded to members, but it also reflects the strong leadership shown
patients, now is a particularly opportune time to assess the extent to which we
by successive Boards and Officers over the last decade. The adoption of an
can campaign from a position of strength, ensure that members' voices are
ambitious strategic plan in 2013 is predicated on further expansion of the
heard, and that there are appropriate channels of communication between
membership, and I believe that it is now appropriate to set a clear membership
elected leaders for general practice and the wider membership.
target of 2,000 dentists and I feel that there is no reason why we cannot aspire to such a level of membership within the next three years.
Strategic planning A meeting of the oversight group charged with reviewing implementation of
Staff changes
the Association’s three-year Strategy Plan took place on December 9, 2015,
The number of staff employed by the Association remained unchanged in 2013.
and was attended by Drs Peter Gannon, Jane Renehan and Michael Crowe. In
There were two departures from IDA House as Dario Gioe and Sarah Gill took up
addition, a number of recommendations have been received from Prospectus
new opportunities, to be replaced by Kat Cameron and Roisin Farrelly,
with a view to enhancing capacity within the Association in implementing the
respectively. I wish to put on record our appreciation and best wishes to Dario
strategy.
and Sarah, and to welcome and offer our best wishes to Kat and Roisin.
Dr Gannon gave members an update on the current level of implementation of the Strategic Plan for the Association at the Practice Management Seminar in Croke Park in January 2016. In doing so, he explained the six main areas covered by the Plan: services to members; the IDA as an authoritative voice on oral health; the primary provider of dental CPD; the development of successful practices; representation of and advice for members; and, quality and patient safety issues. He acknowledged the huge volume of work being carried out by members in all aspects of the implementation of the Plan. He noted the need to raise the profile of the Plan with members, and said that the Association would consider the appointment of a part-time dedicated project manager to
Fintan Hourihan
manage and co-ordinate implementation.
CEO
Irish Dental Association | Annual Report 2015 15
HONORARy SECRETARy'S REPORT
I have had the pleasure over the past two years to serve as Honorary Secretary
Irish dentistry. I feel we have come a step closer to that goal, and I am certain
to the Association. I surely did not know what to expect in taking over a role
there is more to come.
as a director. In this time I have come to appreciate the tireless and enthusiastic assistance offered by the staff at IDA House, which I am certain
Governance
was not only aimed at me. All of us dentists involved in committees, task
The last year has seen a governance review being completed – a review of
groups, councils and boards feel the support that is most obviously
our internal organisational structures. The outcome is promising and it appears
represented by Elaine Hughes and Fintan Hourihan, among all members of
that we are very competitive all round in comparison to other organisations
staff.
of our size or standing. I guess this only reflects the hard work by members
Before I recollect the events more relevant to dentistry in Ireland, I would like
and staff over the past years.
to highlight that 2015 has been a challenging year for Europe. Economic
We were awaiting the elections in the hope of seeing positive changes for our
recovery, so we hear, is on the way, but our world is changing at a significant
profession and our patients. The next legislative cycle will hopefully see the
pace. With every new generation a society necessarily changes and the
implementation of a long overdue new Dental Act. Change here is the key
stability that Europe once stood for has clearly been shaken with the economic
once again. What have the parties that may come to power taken on board
downturn of the last few years. In the last two years we have been asked to
of the messages we attempted to convey to them? Let us be hopeful and
invite a significant number of people from very troubled areas of this world
involved in the future political discourse with the necessary courage.
in to Europe. I hope that we find a kind way to integrate them, a task that is
On a much lighter note, I would like to point to a new online learning platform
not easy, and which will take political courage, and a task for the residents of
provided by the IDA to its members, which has come to life in the last few
each and every member state of the European Union.
months. You will find access to it under www.dentist.ie and I would encourage
The challenge of change
become mandatory, and our platform is a promising starting point on this
I believe that we will see change in healthcare, including dentistry. We have
journey for everyone.
experienced extraordinary restrictions to existing agreements between the
I would like to thank all of you who helped me in the last two years in being
State and dentists, and a significant number of us have learned to adapt to
a Board member. At this stage all that is left for me is to ask you to further
all of you to start using it. It is likely that with the new Dental Act, CPD will
these. Dentists have been described to me as problem solvers, represented in
strengthen our association by giving your time, know-how and commitment,
an overwhelming part of our training. Suddenly we were asked to become
and I will promise you that it will repay you many times in experience. It is an
lateral thinkers, and to find alternative routes to how we practised dentistry,
association for members, but it only lives through change with its members’
and it appears to me that the task was mastered quite well.
active participation.
Change is never easy or without a price, and I believe that a strong representative body such as the IDA/IDU can only aid us as individuals on this path. The business of dentistry can at times be isolating, just due to the nature of the profession. I hope that more and more dentists keep joining the IDA as the recent membership figures have suggested. The Association then becomes a forum for exchange, first of all for increasing knowledge, but not entirely forgetting the human element of working with each other, which can be very rewarding to the individual. An organisation like ours ought to take a pivotal role in communication, be a platform for discourse, a place for advice, education, discussion, planning and strategy development. I strongly believe that only as a united group will we be heard on a political level – understanding at the same time that we cannot always agree on everything. It is only through debate and diversity that we may learn from each other. As the year went by we saw significant elements of the Association’s Strategy Plan being implemented. With the assistance of Prospectus the IDA developed a three-year plan to facilitate a structure to our actions for the future. Part
Dr Maher Kemmoona
of this Strategy was to increase awareness of the IDA as the leading voice in
Honorary Secretary
16
Irish Dental Association | Annual Report 2015
HONORARy TREASuRER'S REPORT
Attached to this report you will find the audited accounts for the year ended
The combined cash balance at the end of the year was ¤590,932. This represents
December 31, 2015. Our auditors for the period were Grant Thornton, Chartered
a significant increase from the 2014 figure of ¤392,402.
Accountants and Registered Auditors.
Members’ compensation continues to rise – possibly partly due to members who are claiming compensation payments now making their claims in a more timely
Income
fashion. It is also a reflection of the very significant amount of time given by
The combined IDA/IDU income for 2015 has remained stable, with a modest
members, out of their practice time, to work for the Association. It does not
increase from ¤1,295,081 to ¤1,315,036. Combined membership income showed
replace income, but goes a small way towards covering running costs for the time
an increase from ¤1,034,641 in 2014 to ¤1,051,389 in 2015, reflecting an
taken out of practice by the member.
increase of 2% in membership subscriptions. This accounts for approximately 80% of Association/Union income.
Summary
Accreditation increased from ¤110,417 to ¤130,000. The accreditation income
IDA House has a mortgage of ¤170,000. It was valued at ¤450,000 in 2014 and
increased again in 2015 as a result of successful negotiations on the part of the
is due to be revalued in 2016.
Assistant CEO.
The Association made an operating loss of ¤26,454. This largely related to the
TheRewaSaveRySignifiCanT inCReaSeininCOmefROm TRainingCOuRSeSThiSyeaR, TOappROximaTely€30,000– a50%inCReaSeOnThe
investment made in the Learning Management System. The Union incurred a net loss of ¤715,438 for the year ended December 31, 2015. Legal and professional fees were ¤907,825. The union has liabilities in excess of assets, amounting to ¤386,287. The trustees have reviewed budgets, projected cash flows and all other relevant information and, on the basis of this review, can reasonably assume that the Union has adequate financial resources to continue in operational existence for the foreseeable future. Consequently, the directors consider it appropriate to prepare the financial statements on a going concern basis.
2014figuRe. There was a very significant increase in income from training courses this year, to approximately ¤30,000 – a 50% increase on the 2014 figure. The surplus from the Annual Scientific Conference was similar to last year, at approximately ¤80,000. However, the income from the HSE Dental Surgeons Group Annual Seminar decreased. We are optimistic that the new CPD Learning Management System rolled out in 2015 will help to support a potential source of income for the Association in the coming years, and will represent further value to the membership. We are pleased to see that the advertising revenue in the Journal is rising each period – hopefully a sign of renewed growth in the profession, reflecting what is happening in the wider economy.
Expenditure There were significant legal and professional fees of ¤907,825 relating to the unsuccessful Supreme Court challenge. The significant non-recurring expenses in 2015 were ¤67,516 for the CPD Learning Management System and ¤25,889 for the corporate governance
Dr Ronan Perry
review.
Honorary Treasurer
Irish Dental Association | Annual Report 2015 17
GROuP REPORT
Orthodontic Group The Orthodontic Society of Ireland (OSI) celebrated its 25th anniversary in 2015.
the State by private orthodontists – this was opposed by the OSI on various
The OSI had one scientific meeting in March, in Powerscourt, Co. Wicklow, with
grounds, including postcode lottery distribution of benefit and spending
guest speaker Stuart Frost from Mesa, Arizona, joining us to deliver a clinical
taxpayers’ money outside the State. The other initiative was a HSE tender for
programme on 'Passive self ligation orthodontics: theory and practice'.
treatment of HSE patients by private orthodontists (again, anywhere in Europe,
In addition to Dr Frost’s clinical programme, Lina Craven from Dynamic
but ease of travel/access to a practice would be considered favourably). This
Perceptions practice management consultancy delivered a one-day workshop
was originally meant to be up and running with the first patients in treatment
for team members on delivering an excellent patient experience – 'From
by October 2015, but the tender process had not been formally concluded by
ordinary to great!' This was well attended and popular with delegates, and the
the end of the year.
OSI may run parallel sessions at its future meetings. Our trade exhibition was
The OSI did not have its normal autumn meeting, or its usual AGM, to avoid a
well serviced with local and international suppliers, including the return of some
conflict of priorities for members who wanted to attend the International
familiar faces from the USA that have looked after Irish orthodontists
Orthodontic Congress in London in September. This congress only convenes once
for many years.
every five years, and it was a great opportunity to attend it so close to home. A
As well as being the OSI’s primary event, the spring meeting was also host to a
sizeable Irish delegation enjoyed the conference and had their own social pro-
delegation of visiting European orthodontists, as it was the location for a board
gramme there, including watching Ireland compete in the Rugby World Cup at
meeting of the European Federation of Orthodontics (FEO), including Angel
Wembley Stadium and an evening event at the Royal Ocean Racing Club in
Alonso Torso (FEO President), Panagiotis Skoularikis, Odile Hutereau and Silvia
St James’s Place.
Allegrini (FEO Vice President). Ireland is represented in the FEO and also the
Long-time OSI member Dan Counihan from Kerry gave a talk on 'Second molar
EFOSA (European Federation of Orthodontic Specialists Associations) by Dr
extraction' at the Congress in one of the main auditoria during a prime time slot
Owen Crotty from Cork.
and it was well attended.
After the meeting, OSI President Sinead O’Hanrahan invited the FEO delegates
The OSI rounded off the year with a 25th Anniversary Dinner at the Merrion
and Dr Frost for a walk around Glendalough, in pleasant weather, which rounded
Hotel in December (which unfortunately clashed with the IDA’s Dinner and
off a successful trip to Ireland for them with some memorable photos.
Awards Ceremony).
At the American Association of Orthodontists meeting in San Francisco in May,
In 2016 we will resume our usual practice of two scientific conferences – this
Dr O’Hanrahan was represented at the World Federation of Orthodontists Annual
time in April and November. We will have an EGM in April and the AGM in
Presidents’ Breakfast by OSI Secretary Stephen Murray.
November, which will see the election of a new Council.
OSI Scientific Secretary Ronan Perry was interviewed on RTÉ later in May. Two schemes to reduce HSE orthodontic waiting lists came to the OSI’s attention during the year. One was a cross-border directive where the Government would
Dr Stephen Murray
pay for HSE patients to have their treatment conducted in EU countries outside
Orthodontic Group Representative
18
Irish Dental Association | Annual Report 2015
BOARD Of DIRECTORS
Board of Directors Dr Anne Twomey
President
Journal of the IDA Editorial Board
Dr Peter Gannon
Vice President
Professor Leo Stassen
Editor
Dr PJ Byrne
President Elect
Dr Dermot Canavan
Deputy Editor
Dr Maher Kemmoona
Honorary Secretary
Dr Ciara Scott
Dr Ronan Perry
Honorary Treasurer
Dr Mark Kelly
Dr Gillian Smith
Honorary Secretary Designate
Dr Iseult Bouarroudj
Dr Frances O’Callaghan
Honorary Membership Officer
Ms Donna Patton
Dr Ryan Hennessy
GP Group Rep
Mr Paul O’Grady
Dr Iseult Bouarroudj
HSE Dental Surgeons Rep
Mr Tom Cullen Mr Fintan Hourihan
Accreditation
Ms Fionnuala O’Brien
Dr Pat Cleary
Ms Elaine Hughes
Dr Anne O’Neill
Dr Seamus Sharkey
Ms Elaine Hughes
Ms Ruth Moore Dr Simon Wolstencroft
Audit and Finance
Dr Ioannis Polyzois
Dr Gillian Smith
Dr Chris Lynch
Dr Peter Gannon
Dr Michael Crowe
Dr Jane Renehan Dr Ronan Perry
Quality and Patient Safety
Dr Kevin Dunne
Dr Eamon Croke
Dr Maher Kemmoona
Dr John Adye-Curran
Mr Fintan Hourihan
Dr Nick Armstrong
Chair
Dr Daniel McIllgorm
CED
Dr Jane Renehan
Dr Nuala Carney
Dr James Tarpey
Dr Robin Foyle
Dr Nicola Zammit
Dr Jane Renehan
Dr Paul O’Dwyer
Mr Fintan Hourihan
Dr Cristina Taut Dr Niall Jennings
CPD
Ms Roisin Farrelly
Dr Garry Heavey Dr PJ Byrne Dr Paddy Crotty Dr Ciara Scott Ms Elaine Hughes
Scientific Dr Tiernan O’Brien Professor Stephen Flint Dr Frank Quinn Dr Frank Burke
Irish Dental Association | Annual Report 2015 19
COmmITTEE REPORTS
Accreditation
Health; Patient Safety; and, Tooth Whitening. There are five task forces, which are responsible to the Board of Directors and are usually formed for a short period of time for a specific pressing issue. The
In 2015, the IDA was delighted to retain accreditation contracts with our valued
current task forces are: Antibiotics in Dentistry; Ethics; Liberal Professions;
partners:
Communications; and, Internal Market.
n n n n
Wrigley’s Extra Wrigley’s Complete
WG Amalgam and Other Restorative Materials advises on the safety of
Colgate Total
amalgam in respect of the health of patients and dental staff, and on the
GSK Sensodyne
effectiveness of EU regulations in minimising the environmental impact of amalgam waste. It continues to discuss the implications of the Minamata
Once again we thank the scientific committee – Drs Tiernan O’Brien, Frank Quinn
Convention on Mercury and its effects on dental practice over the next few
and Frank Burke, and Professor Stephen Flint.
years. It is also looking into the safety of nanomaterials used in dentistry, Bisphenol A (BPA), and possible endocrine disruptors in dental materials.
Dr Pat Cleary Chairman, Accreditation Committee
WG Education and Professional Qualifications advises on the implementation and follows the developments of the Professional Qualifications Directive. It makes recommendations on basic dental training, vocational training,
CED The voice of dentists and oral health in Europe for over
continuing dental education, specialisation in dentistry and revalidation of dental practitioners. It also advises on the potential impact of the Bologna Process on dentistry. WG E Health follows the developments and prepares CED policy in areas related to e health, and monitors the development of common standards
50 years
on information exchange between professionals with regard to patient
The Council of European Dentists (CED) is a European not-for-profit
records at EU and national level.
association, which represents over 340,000 practising dentists through 32
WG Infection control and waste management. Dr Jane Renehan is a member
national dental associations and chambers from 30 European countries. Its key
of this WG, which monitors national laws and practices in the area of
objectives are to promote high standards of oral healthcare and effective
infection control and waste management, e.g., sterilisation practices and
patient safety-centred professional practice across Europe, including through regular contacts with other European organisations and EU institutions.
methods of disposing of contaminated dental waste. WG Medical Devices advises on CED policy on the implementation and recast of the Medical Devices Directives, particularly in respect of guaranteeing
General meetings
maximum quality and safety for patients. It also liaises with the CED
The CED held two general meetings in 2015. The first was in Riga, Latvia, in
Working Group Amalgam and Other Restorative Materials on issues related
May, followed by a meeting in Brussels in November. At the November meeting Dr Marco Landi (Italy) was elected president of the CED for three years. He took over from Dr Wolfgang Doneus (Austria), who had served two consecutive terms.
to nanomaterials and endocrine disruptors. WG Oral Health. Fintan Hourihan is a member of this WG, which follows developments and prepares CED policy in areas related to oral health, such as: prevention and promotion; tobacco; alcohol; nutrition; diseases; health
Representation
inequalities; children; and, ageing. The WG very successfully focused on
The IDA was represented by Drs Robin Foyle, Nuala Carney and Jane Renehan,
the theme of oral cancer for the European Oral Health Day on September
and Mr Fintan Hourihan.
12, 2015. WG Patient safety advises on issues of patient safety and quality of care,
Working groups and task forces
particularly on the development of policy and exchange of best practices
The CED currently has eight active working groups (WGs) made up of dentists
relevant to dentistry.
and experts in the particular topic. The working groups are: Amalgam and
WG Tooth Whitening Products is dealing with the legislation resulting
Other Restorative Materials; Education and Professional Qualifications; E
from EU Directive 2011/84/EU. Dr Robin Foyle is a member of this WG.
Health; Infection Control and Waste Management; Medical Devices; Oral
The WG reported that a total ban on sodium perborate and all borates has
20
Irish Dental Association | Annual Report 2015
been enacted by the EU. They have been classified as toxic to reproduction (CMR1). The WG is currently working on overturning the ban on tooth whitening in under 18s. An expert group (including Dr Paddy Fleming,
CPD Committee
president of the European Academy of Paediatric Dentistry [EAPD]) has
2015 saw the conclusion of the three-year CPD Roadshow cycle. Over 500 dentists
been advising the WG on the best way forward, regarding scientific
availed of these CPD-approved workshops in six different locations around the
literature, and progress is being made. However, the Scientific Committee
country. A massive thanks to all our presenters on the programme over the three
on Consumer Safety of the EU will probably take some time before they
years, who gave of their time and expertise for IDA members.
revisit the original decision to ban use of tooth whitening products in under
Our CPD programme continued, with more hands-on courses in subject areas such
18s. The WG has also released a statement discouraging the use of
as endodontics, componeers, placing an implant, composites and oral surgery.
whitening lamps, as there is no evidence to suggest that they are effective.
We were delighted to bring a series of workshops on infection control to members
BTF Antibiotics in Dentistry: This Task Force is responsible for preparing
in September at IDENTEX. Thanks to Drs Jane Renehan and Nick Armstrong and
positions and planning activities related to the use of antibiotics in
dental nurse Siobhan Carrigan, with the support of Henry Schein, we ran some very
dentistry, specifically antimicrobial resistance. November 18, 2015, was
worthwhile, practical workshops highlighting the important aspects of the new Code
European Antibiotic Awareness Day. The CED agreed a joint statement with
of Practice in Infection Control. Due to popular demand, the workshops will run
European doctors and vets in advance of this on how to combat resistance.
again at the Annual Conference in Galway in April 2016.
BTF Internal Market: This Task Force is responsible for monitoring and
The CPD Committee launched the new online Learning Management System in
advising on internal market-related issues that have an impact on dentistry.
2015. This user-friendly system will allow dentists to see a calendar of events, book
This covers issues like patient and professional mobility, competition policy,
and pay for IDA courses, and access peer-reviewed articles from the Journal of the
etc. The BTF Internal Market met in Brussels to discuss, among other issues,
Irish Dental Association. The system, developed by Dublin-based company
the Commission’s transparency exercise on access to regulated professions,
LearnUpon, is accessible by logging on to the members' section of the IDA website
VAT in healthcare, general data protection regulation, the Joint Action on
and clicking on CPD. All IDA members will have easy access to their CPD record,
Health Workforce Planning & Forecasting, and current international
and can print off certificates of attendance. Other features such as online videos
agreements (TTIP and TISA).
will be added to the system in time. Thank you to Drs Mark Kelly, Michael Crowe
BTF Communications: This Task Force is responsible for planning and
and Maurice Fitzgerald for advising us on the design of the system.
evaluating communications activities in support of the CED's strategic
Unfortunately, there still remain long delays in getting courses/lectures approved
goals.
for CPD points by the Dental Council. All branches and groups looking for approval
BTF Ethics: This Task Force is preparing an update of the CED Code of Ethics.
for courses should allow at least three months for a response from the Dental
BTF Liberal Professions: This Task Force prepared a European Charter of
Council.
Liberal Professions, and is focusing on the interests of liberal professions at EU level.
Dr Garry Heavey Chairman, CPD Committee
Further information on the activities of the CED can be found at www.eudental.eu. Dr Robin Foyle Head of IDA CED Delegation
Irish Dental Association | Annual Report 2015 21
Journal of the Irish Dental Association
Publishing progress It was a good year for the Journal of the Irish Dental Association. 2015 was a year
profession recognise the importance and position of the Journal by supporting it
of steady progress, both editorially and commercially. Editorially, we built on the
commercially and editorially. However, there are a few exceptions. Dentists can note
success of the clinical features commenced in 2014, and we were pleased to award
those absences themselves – marked especially by their presence in other
the prize for the best clinical feature to Dr Abigail Moore for her feature on
publications.
management of an anxious child in the dental setting. It was published in the
To the very many companies that do support the Journal, we are most grateful, as
February/March 2015 edition.
they give us the resources to produce a scientific journal for our members, which
A popular innovation in 2015 was the introduction of the short interview-style
can also carry news, views, features and interviews of great interest to dentists in
feature called ‘My IDA’, in which an active member describes their reasons for getting
Ireland.
involved and their experience of being a member of the Association. The series commenced with Dr Saoirse O’Toole in the August/September edition, and
Scientific papers
continued with Drs Andrew Kelly and Iseult Bouarroudj. It has received a strong
In 2015, the Journal received 27 scientific articles for consideration. Seven were
positive reaction.
published, six were rejected, one was withdrawn, and two are still in review, while
Once again, the Sensodyne Sensitive Dentist of the Year Awards proved highly
seven are awaiting resubmission following review. Two articles accepted in 2015
successful. Dr Karl Cassidy’s patient was told by her specialist that if she had delayed
were published in 2016 and a further two have been accepted and are awaiting
another 24 hours, he might not have been able to help her. Karl’s prompt action in
publication. Of the 27 articles submitted, nine were international articles and 18
insisting she immediately go for a full blood count resulted in her diagnosis of acute
were Irish articles.
myeloid leukaemia and the treatment necessary to save her life. Not all stories in
With each paper being sent to a number of reviewers, it is clear that we are
the Awards are that dramatic. We hear wonderful testimony about acts of kindness
dependent on the expertise of the many dental professionals we call on to review
as well as great clinical skill. The point, as ever, is that the patients are telling their
the papers. We are very grateful to all our reviewers and, happily, with the support
stories about the good things that happen when they visit their dentist. We look
of the Dental Council, each review now garners CPD points for the reviewer. We
forward to hearing more such stories this year.
are working with the Dental Council on a system for achieving points for reading the articles.
Advertising support and competition
Another important point is that the speed at which we get the reviews back allows
Commercially, we are happy to report that advertising revenue rose slightly again,
us to make quick decisions on the papers. This is very helpful to our management
continuing a pattern from the low point of 2012. The Association has established a
of the Journal, and for the authors, who get clear direction without delay.
good working relationship with the Irish Dental Trade Association (IDTA), and this has been reflected in the coverage of the IDENTEX show, which now includes the
Editorial Board
IDA Autumn Meeting.
This year we said our sincere thanks to Dr Alastair Woods and Tina Gorman for
Competition continues apace, with one of the two British-based publishers offering
their service on the Editorial Board, and welcomed Dr Peter Harrison and Ruth
less than half our circulation in one instance, and the other offering what seems to
Moore in their stead. We are grateful to all the members of the Editorial Board,
be less again. By now, the vast majority of the companies selling to the Irish dental
who give their service freely for the improvement of the profession. As always,
22
Irish Dental Association | Annual Report 2015
weheaRwOnDeRfulTeSTimOnyabOuTaCTSOfkinDneSS aSwellaSgReaTCliniCalSkill.ThepOinT,aSeveR,iSThaT ThepaTienTSaReTellingTheiRSTORieSabOuTThegOOD ThingSThaThappenwhenTheyviSiTTheiRDenTiST.we lOOkfORwaRDTOheaRingmOReSuChSTORieSThiSyeaR.
we also thank the Council of the Association for its continuing support, which is
Editorial Board
essential for our success. Journal Co-ordinator Fionnuala O’Brien ensures that the Journal is run very
Joined the Board in 2015
effectively and efficiently, and the Board is most grateful to her for her very professional work on our behalf.
Peter Harrison
As a group, we seem to function very well and we are grateful to our publishers,
Ruth Moore
Think Media, for their expertise. They work hard to ensure that the strategic direction provided by the Editorial Board is properly implemented. I look forward to further developments in 2016, including the production of the
Left the Board in 2015
supplement on dental education. It is a once every five years undertaking entailing the Journal going into the Cork and Dublin dental schools and hospitals. We
Alastair Woods
photograph every student of dental science, making it a tremendous contribution
Tina Gorman
to the record of dental study in Ireland. Finally, every member of the Association is welcome to submit their ideas for the Journal and we welcome such contributions either verbally to me, or by correspondence to Fionnuala in IDA House.
Scientific articles for the Journal of the Irish Dental Association in 2015.
Total submitted in 2015
27
Received in 2015 and published in 2015
7
Still in review process
2
Awaiting resubmission following review
7
Accepted and awaiting publication
2
Rejected articles
6
Submitted in 2015 but published in 2016
2
Withdrawn
1
Professor Leo F.A. Stassen, Honorary Editor.
Irish Dental Association | Annual Report 2015 23
Sub-Committee for Public Relations and Public Affairs
At the Council meeting that followed, there was further discussion regarding the
January to June 2015
Gordon MRM presentation. The proposal from Hume Brophy was also presented in
Following efforts in 2014 and early 2015 to bring public relations and public affairs
brief to Council. The level of service and fees was felt to be such that it could not
to the centre of the IDA organisation, Council met in March 2015 and accepted the
be prudently budgeted for at present, especially with the financial uncertainty as a
proposal that the current Committee be reorganised, at least in the short term, as
result of the pending Supreme Court case.
a Sub-Committee of the IDA, comprising the following officers and Council members: Drs Iseult Bouarroudj, Peter Gannon, Susan Kiely, Maher Kemmoona,
September 2015 to January 2016
Saoirse O'Toole and Anne Twomey, with the CEO undertaking to draft terms of
Efforts to arrange a meeting in September and October were complicated by
reference for presentation and formal adoption by Council at the next meeting.
Committee member availability, but informal communication in relation to Mouth
It was agreed that the Sub-Committee would convene before the next Board
Cancer Awareness Day, and assisting Dr Anne Twomey to consolidate links with the
meeting. It was also agreed to arrange for Gordon MRM to present on all aspects
Diabetes Federation and Irish Kidney Association, continued.
of their current service to the IDA, including costs and fees. It was noted that public
In November 2015, Gordon MRM proposed a pre-Election suite of services to
affairs was an important and increasing aspect of the responsibility of the
include liaising with the IMO on a health agenda platform. It was felt that the level
organisation, which needs to be carried out alongside a number of PR projects
of cost, and the likely challenge of getting oral health issues heard among the urgent
throughout the year.
emotive general health concerns, were such that this would not be worthwhile.
In May 2015, members of the Sub-Committee, joined by CEO Fintan Hourihan and
Instead the IDA, through CEO Fintan Hourihan, wrote to all the main political parties
President Dr Anne Twomey, met with public affairs consultants Hume Brophy at
with a series of six questions covering areas of current concern to the profession
their offices for an immersion day. The objective was to inform the organisation on
and general public, and inviting their replies.In the following weeks running up to
current practice in public affairs, particularly as it would relate to the IDA, and the
the recent Election in February 2016, replies were received from Fianna Fáil, Fine
Governmental and private interested party structures, which would provide
Gael, The Green Party, Labour, Renua and Sinn Féin. The questions and replies were
opportunities for influencing policy around oral and general health issues. It was
made available to members through direct mailing and the IDA website.
felt that the day was very worthwhile, and conveyed an optimism about the
Members were encouraged to put these to their local candidates and patients to
possibilities for the IDA to become engaged in broader and more effective lobbying
help bring oral health issues on to the agenda in the run-up to voting.
on those issues that would benefit members and our patients.
In December 2015, the IDA issued three months' notice to Gordon MRM of its
This engagement with Hume Brophy was followed by a proposal from them to the
intention to tender afresh for its public relations services. With imminent tendering
IDA setting out services and costs for the public affairs remit discussed on the day.
in mind a draft document, which could be used as a basis for submissions, was
In June 2015, prior to the Council meeting, members of the Sub-Committee, joined
prepared by Dr Susan Kiely, and was made available for consideration and comment
by Fintan Hourihan and Dr Anne Twomey, met with Gordon MRM, represented by
at the December Council meeting.
Kieran Garry and Ray Gordon, at IDA House. The instruction given by the IDA to
January 2016 got off to a good very start with the RTÉ programme Sugar Crash,
our PR agents was to present an activity report and to include their sense of the
which included interviews with Dr Anne O’Connell of the DDUH and IDA President
public profile of the profession, and the opportunities and challenges going into
Dr Anne Twomey, and dealt with the increasing trends towards excessive sugar
the future. A comprehensive presentation followed, with IDA representatives
intake and the adverse impact of the diseases resulting as a consequence such as
engaging in lengthy discussion, which highlighted the strategic contacts the agency
obesity, type 2 diabetes and, as featured prominently, tooth decay, especially in
has with the various media in advancing the interests of the IDA, the ongoing
children. The programme prompted widespread discussion about sugar and dental
challenge to keep oral health on the PR agenda and, finally, Gordon MRM's belief
disease, which was and continues to be evident in the media, and members'
that it is currently over-servicing the IDA account, which would need to be
practices throughout the country.
addressed. Ray Gordon also alluded to the limited public affairs issues dealt with by them on behalf of the IDA in recent times and the scope for expanded service
Susan Kiely
provision in that regard.
Chairperson, Sub-Committee for Public Relations and Public Affairs
24
Irish Dental Association | Annual Report 2015
Quality and Patient Safety Committee The Irish Dental Association’s Quality and Patient Safety Committee was established
Review of the Association’s 'Best Practice' website
in 2009. The function of the Committee is to assist IDA members to achieve
The 'Best Practice' section of the IDA's website is regularly reviewed to ensure
compliance with the multiple and diverse regulations applicable to dental practice,
accuracy of information to members.
and to promote quality and safety for patients.
The Committee has started a review of the best practice advice on radiology, which
The Committee aims to ensure that its advice is reasonable, practical and based on
was published in 2009. This is being done as part of the Committee’s commitment
the best available evidence. The advice is prepared following a review of
to regularly review the content of the website in light of contemporary requirements.
international and national standards, and is subject to in-depth assessment by the
The radiology section has been removed from the website while this is done.
Committee. The litmus test is that the advice can be applied in a standard dental
A thorough assessment of the section indicates that the information therein is still
surgery without an unreasonable burden being placed on the practice, financial or
largely current, but that the procedures involved in establishing an audit, as is
otherwise. The advice is coupled with audit tools to allow self-assessment, and to
required by law, need further explanation and clarity.
support risk identification and management.
The publication of the Dental Council’s Code of Practice Relating to: Infection
The need for easy access to best practice advice has come into sharper focus since
Prevention and Control (April 2015) will see a different format to the website in the
the introduction of practice inspection by the HSE. It is expected that practice
coming year, as the sections on ‘Decontamination in Dentistry’, ‘Hand Hygiene’
registration and inspection will be mandatory in the new Dental Act, but members
and ‘Waste Management’ will be gathered, with a new section, ‘Standard Operating
are encouraged to avoid the stress of waiting for such an event. Use the ‘Best
Procedures’, into an overarching title of ‘Infection Prevention and Control Policy’
Practice’ section of the IDA’s website (www.dentist.ie) to upgrade your practice
to aid members in fulfilling their Dental Council obligations.
protocols now. All information on the website is appropriate to Dental Council Codes
The Committee welcomes all enquiries or suggestions regarding the content of the
of Practice and the law.
'Best Practice' section of the website.
Work completed
Miscellaneous work
So far, the Committee has developed advice in the following areas:
The Committee is regularly asked to review, for the membership, documents that
n decontamination in dentistry; n hand hygiene;
n emergency drugs and equipment; n amalgam separation; n waste management;
n complaints procedure for dental practices; and, n data collection, usage and protection.
Work in progress Currently, the Committee is developing advice on the following topics: n essentials of dental practice/dental practice inspections;
n prevention of infection from water systems in healthcare facilities; and, n protocols in infection prevention and control (IPC).
may be in a consultative process. The Committee’s work on ‘The prevention of infection from water systems in healthcare facilities’ is typical of that type of task. The Committee also reviews EU directives or legislative and work practice changes. The Committee reports to the Council of the IDU on all matters. At present, the Committee is examining what the UNEP Minamata Convention on Mercury may mean for Irish dentistry.
Future work Advice for dentists setting up in practice The Committee has finally got around to addressing Dr Barry Harrington’s document, ‘General facilities to be considered when setting up in dental practice’. This document contains a wealth of information. It is intended to use the experiences of new practice owners to test and expand the document prior to publication.
The Committee has developed a ‘Patient Advice on Tooth Whitening’, which, if approved by the Council of the Association, will be available to the public on the
Infection prevention and control policy
Association’s website.
This is a large task, but is aided by the fact that previous work by the Committee covers areas of IPC policy that each practice is obliged to have under the Dental
The workshops at the Annual Conference on April 21-22, 2016, will address the
Council Code of Practice. It is intended that this part of the website will be built
issues of water quality and IPC protocols.
steadily, with the Committee adding standard operating procedures over time.
Irish Dental Association | Annual Report 2015 25
THE COMMITTEE AIMS TO ENSURE THAT ITS ADVICE IS REASONABLE, PRACTICAL AND BASED ON THE BEST AVAILABLE EVIDENCE. THE ADVICE IS PREPARED FOLLOWING A REVIEW OF INTERNATIONAL AND NATIONAL STANDARDS, AND IS SUBJECT TO IN-DEPTH ASSESSMENT BY THE COMMITTEE.
The website will allow each practice to develop an IPC policy, with audit tools to
Communication with members
support procedures and protocols. The inaugural launch of the new section on the
The Committee is concerned at what appears to be a low level of awareness among
website will take place by September 2016.
members of its work, and has sought Council’s assistance to improve the
The workshops in this year’s Annual Conference (April 21-22) will be an invaluable
dissemination of the advice available to members.
introduction to the topic and to understanding what is required by the Dental
The Committee’s primary method of communication with members has, so far, been
Council.
by way of the 'Best Practice' section of the members’ area of the IDA website – www.dentist.ie.
Membership of the Committee
The Journal of the Irish Dental Association has also aided the Committee’s work in
The Committee endeavours to ensure that all sections and profiles of the profession
highlighting new publications. It is intended that notice of the availability of the
are represented on the Committee. At present, there are 10 members of the
‘Patient Advice on Tooth Whitening’ and the redesigned section in the 'Best
Committee, with a good mix of public and private practitioners. The Committee
Practice' section of the website on IPC policy will be highlighted in the Journal.
regularly recruits members and welcomes all members who wish to join this vibrant
Workshops on the various areas of advice have been presented at previous Annual
Committee.
Conferences. This year’s workshops are pertinent to the present Dental Council Code of Practice relating to: Infection Prevention and Control.
Link with Council of the IDU
The Committee has also asked that its work is regularly highlighted in emails sent
Each year, the Committee invites the President of the Association to attend a
to members by the Association, and in the members' section of the Journal.
Committee meeting to facilitate appraisal of the Committee’s work. The Committee looks forward to welcoming Dr PJ Byrne in the near future.
Workshops
The Council of the Association invited the Committee to nominate a representative
There were no workshops at the 2015 Annual Conference. Dr Nick Armstrong
to Council and Dr John Adye-Curran has been our representative on Council for the
presented at last year’s Annual Conference, at the CPD Roadshow and at the HSE
past year.
Group's Annual Seminar. Drs Renehan and Armstrong presented five workshops on
Communication with other committees
out quickly. The Committee is very grateful to Jane and Nick for their continuing
The Committee is in regular communication with the GP and CPD Committees and,
great work in the provision of continuing professional development to members.
IPC practice at IDENTEX in September 2015. These proved very popular and booked
of course, Council of the IDU. The Committee also works with the Conference Committee. Dr Nicola Zammit is the Committee’s representative on the IDA Website Task Force. Dr Niall Jennings was nominated to the HSA Healthcare Steering Group, replacing Dr Barry Harrington. We are delighted that Dr Harrington remains a
Dr Eamon D. Croke
member of the Committee.
Chair, Quality and Patient Safety Committee
26
Irish Dental Association | Annual Report 2015
BRANCH REPORTS
Kerry Branch
During the course of the year Drs Jessica Rice, Karen Grealis and Martha Broszko
2015 was a quiet year in the Kerry Branch, but 2016 looks to be a busier one for us.
resigned from the committee due to travel and other commitments. Drs Laura
At our annual AGM in January 2016, the following people were elected:
Houlihan and Michael Freedman indicated their intention to resign at our 2016
President: Dr Peter Moran
Secretary: Dr Thomas Quilter
AGM in March, Laura having finished her time on the committee and Michael due
Treasurer: Dr Paul Keogh
GP Rep: Dr Tim Lynch
to other commitments.
Council Rep: Dr Susan Crean
At our September meeting, Drs Ciaran O'Driscoll, Eddie O'Reilly and PJ Byrne gave presentations. In October we welcomed Drs Naomi Rahman, Andrew Norris and
We have had two meetings this year so far. In January we had a very good
Brendan Grufferty, and in November Drs Rona Leith, Rachel Doody and Barry Dace
presentation by Pete Gibbons regarding the new cross infection control guidelines
were our speakers. In January we attended the Endodontic Society's meeting, where
that are now in place, and in March we had an excellent presentation by Dr Niamh
the speakers were Drs Francesco Mannocci and Domenico Riccucci. All of these
McAuliffe and Dr Kate Counihan on 'Adult and aesthetic orthodontics: managing
meetings were very well attended and successful, and 1.5 to 2.5 CPD points were
patient expectations'.
awarded for each.
On the social side of things, two of our colleagues have announced their retirements:
The theme of our Annual Scientific Meeting in February was 'Practitioner health
Dr Jim Gleeson of Killarney and Dr Paul Geaney of Castleisland. The Branch is
and wellbeing'. We had five excellent speakers in Garry Heavey, Tony Kerins, Eamonn
planning a night out to mark the occasion and it promises to be a great event as
O Muircheartaigh, Brid Hendron and Jim McGuinness. The meeting was very well
always.
received by those in attendance, particularly the outstanding talk by Jim McGuinness. We had delegates from as far away as Kerry, Cork, Athlone and Leitrim
Peter Moran President, Kerry Branch
in attendance; however, the meeting was rather poorly supported by Metropolitan Branch members. Our final meeting was in March, and Drs Rory Maguire and Mary Clarke were the
North Munster Branch
speakers.
The North Munster Branch holds its meetings in the Strand Hotel, Limerick, at
The committee met monthly during the year.
8.00pm. All lectures are open to IDA members only, and all members in the area are
I would like to thank the committee for their hard work during the year, and also all
encouraged to attend.
the staff in IDA House for all their help, which was invaluable to the functioning of
On Tuesday, February 24, the theme of the meeting was '10 top tips', with the top
the Branch and is greatly appreciated.
tips presented by members on the night. The meeting was sponsored by Henry Schein.
Michael Lavin President, Metropolitan Branch (on behalf of the Hon. Sec.)
On Tuesday, March 31, Dr Padraig McAuliffe was the guest speaker, addressing the topic of 'Fixed and removable options for partially dentate patients' in a meeting sponsored by DMI.
Munster Branch
On Tuesday, April 28, Dr Aiden O’Brien spoke on 'Snoring and sleep apnoea:
Committee:
diagnosis, management and relevance to general practice'. The Branch AGM took
President: Dr Mairéad Browne
place after Dr O'Brien's lecture, and sponsor for the night was Henry Schein.
President-Elect: To be confirmed -Secretary: Dr John Browne
Vice-President: Dr Patrick O’Connor
We would like to thank our sponsors for their support throughout the year.
Treasurer: Dr Kieran O’Connor Other committee members: Dr Judith Phelan, Dr Jennifer McCafferty,
Eoin Mullane President, North Munster Branch
Dr Eamonn Murphy, Dr Arthur O’Connor, Dr Anne Twomey, Dr Patricia Shalloe, Dr Maeve O’Sullivan, Dr Sarah Tobin, Dr Emer O’Leary, Dr Maria Cashman. Branch Representative on Council: Dr Mairéad Browne
Metropolitan Branch
Branch Representative on National GDP Committee: Dr Kieran O’Connor
On the occasion of our AGM in 2015, Dr Laura Houlihan passed over the chain of
There are approximately 250 members of Munster Branch.
office to the new President, Dr Michael Lavin. The President Elect is Dr Una Lally. Honorary Treasurer is Dr Naomi Rahman and Honorary Secretary is Dr Richard Lee
Monthly meetings
Kin. Drs Tom Canning and Nicola Zammit are continuing as committee members
2015 was another busy year for the Munster Branch, with six monthly meetings held
and are joined by Drs Aoibheann Wall and Elaine Shore.
at Maryborough House Hotel, Douglas, Cork. The evening lectures were very well
Irish Dental Association | Annual Report 2015 27
received and supported this year, and as with previous years there was an opportunity
on offer. Our annual Munster Branch dinner was held that evening in Fota hotel,
after each lecture for members to enjoy refreshments, socialise and network.
with entertainment provided by Bravura String quartet.
In September Dr Michael McAuliffe, oral surgeon, spoke on the topic of
On a personal level, I would like to thank the Munster Branch committee for all their
'Management of medically compromised patients in general practice'. In November,
hard work and support throughout the year, and all who attended our branch
Dr Eamonn Murphy, orofacial pain specialist, spoke on 'Temporomandibular
meetings throughout my time as President. The Munster Branch is continuing to
disorders: understanding the complexities of TMD through case-based
grow in numbers, as seen by our attendance levels at both our Annual Scientific
presentation'.
Meeting and evening lectures, and we hope that our numbers will continue to
In January 2016, Dr Kirsten Fitzgerald, Consultant Paediatric Dental Surgeon,
increase over the coming year.
Dublin, in association with the European Association of Paediatric Dentists, spoke on the topic of 'Get it done in year one: first visit, first birthday'.
Mairéad Browne President, Munster Branch
Dr Sue Boynton, Senior Dentolegal Adviser, Dental Protection, spoke on the topic of 'DPL subscription rates' and 'Avoiding pitfalls in dentistry – risk management for the dental team'. Two DPL risk credits were available to attendees at this meeting.
South Eastern Branch
In February, a Q&A session on Irish Dental Council sterilisation requirements for
Chairman: Dr Barry Power
dental practices was presented by Denis Doyle of QSC Medical. Dr Richard Lee Kin,
As of the close of 2015, there were 165 members of the South Eastern Branch, an
specialist periodontist, in conjunction with the Irish Society of Periodontology, spoke
increase of 31, or 23%, on the previous year.
Secretary: Dr Ronan Fox
on the topic of 'Non-surgical periodontal treatment in general practice', and Dr Ronan Allen, specialist periodontist, presented on 'Is periodontal surgery really
Branch events
necessary?'. The event was kindly sponsored by Omega Financial Management.
On May 20, 2015, an evening lecture was delivered by Dr Mary Egan at the Viking
Lunch, tea and coffee were provided, and a trade show ran concurrently with
Hotel in Waterford, from 7.30pm to 9.00pm, entitled 'Challenging cases in
lectures.
endodontics'. As always, this was a popular event with an excellent speaker and a
At our March meeting, Dr Judith Phelan, specialist prosthodontist, spoke on the
great turnout. The interaction between audience and speaker was a highlight and
topic of 'Crowns – tips for avoiding pitfalls and trouble shooting'.
questions were encouraged.
This meeting coincided with a presentation by Association CEO Fintan Hourihan
On September 23, we had a double header of lectures by Drs John Buckley and
and a Q&A session on probity and best practice for dentists.
Eimear Norton at the Minella Hotel in Clonmel, from 7.30pm to 9.15pm. Dr
In April, Dr Alastair MacDonald, a specialist endodontist in Glasgow, spoke on the
Buckley's lecture was entitled 'Lingual orthodontics – not just for simple cases', and
topic of 'Endodontics – managing stinky wee holes'. At the April meeting the Branch
Dr Norton's lecture was entitled 'Managing paediatric behaviour'. There was a strong
sponsored dinner after the lecture. Fintan Hourihan, Dr Ryan Hennessy of the GDP
turnout for this event in an excellent location. It has been a few years since the
Committee and other members of the GDP Committee attended, and this allowed
South Eastern Branch was in Clonmel, and it was well received.
members to chat with them in an informal setting.
The Southeast ASM and AGM took place at the Ormonde Hotel in Kilkenny on Friday, February 26, 2016. At the AGM Dr Maurice O'Brien was proposed for
Annual Scientific Meeting
consideration as Branch Chairman, and Dr Ronan Fox was proposed for
Our Annual Scientific Meeting was held at Fota Island Spa and Resort on November
consideration as Branch Secretary. Lunch, tea and coffee were provided, and a trade
27. The topic for the meeting was 'Aesthetic and adhesive dentistry in general
show ran concurrently with lectures. The number of sponsors supporting the trade
practice'. The main speaker for the event was Dr Christopher Orr of Advanced Dental
show was in line with numbers at our 2015 ASM.
Seminars. He presented three lectures on the topic of: 'Direct and indirect restorations for anterior teeth', 'Direct and indirect restorations for posterior teeth'
Trends in dental practice in the south east region
and 'Resin bonded bridges'. The keynote speaker was Ashley Latter who spoke on
Going on the minutes of last year's AGM, State funding of dentistry remains a
the topic of 'Secrets to perfect communication in dental practice: help more patients
concern, while members are reporting an upsurge in patients returning for routine
say yes ethically to your treatment plans and discuss fees with more self-confidence'.
care, albeit from a low base. Creating a more social setting around the evening
The event proved to be hugely popular again this year, with around 150 delegates
meetings and ASM was also discussed, and to this end a return to a meal after the
from all over the country in attendance. As in previous years, there was a good social
ASM was instituted for the 2016 ASM.
and trade side to the event. There was an excellent trade show with over 20 exhibitors, which delegates could visit to see the latest clinical and financial products
28
Irish Dental Association | Annual Report 2015
Barry Power Chairman, South Eastern Branch
FINANCIAL REPORT 2015
2, 450.10
1,198,30
756.25
3, 690.66
Irish Dental Association | Annual Report 2015 29
DIRECTORS’ REPORT
The Directors present their report and the financial statements for the year ended 31 December 2015.
Principal activities
Directors
The principal activity of the company during the year was the provision of
The directors who served during the year were:
support services and information for its dentist members and it is envisaged that
Dr Ryan Hennessy
this will continue to be the company's main activity.
Dr Nuala Carney (resigned 16 April 2015)
The Irish Dental Association Limited is focused on professional advocacy,
Dr Seán Malone (resigned 16 April 2015)
education and scientific publishing, and seeks to promote the education of the
Dr Maher Kemmoona
dental profession and the attainment of optimum oral health.
Dr Peter Gannon Dr Iseult Bouarroudj
Business review
Dr Anne Twomey
The directors are satisfied with the company's performance during the year and
Dr Ronan Perry
look forward to continued improvement in the future.
Dr Gillian Smith (appointed 11 February 2015) Dr PJ Byrne (appointed 16 April 2015)
Results and dividends
Dr Frances O’Callaghan (appointed 16 April 2015)
The loss for the year, after taxation, amounted to ¤30,606 (2014 – loss ¤4,064). The directors have not recommended a dividend.
Board of Directors
Registered number
Dr Ryan Hennessy
146788
Dr Nuala Carney (resigned 16 April 2015) Dr Seán Malone (resigned 16 April 2015)
Registered office
Dr Maher Kemmoona
Unit 2 Leopardstown Office Park, Sandyford, Dublin 18
Dr Peter Gannon Dr Iseult Bouarroudj
Auditor
Dr Anne Twomey
Grant Thornton, Chartered Accountants & Registered Auditor
Dr Ronan Perry
24 - 26 City Quay, Dublin 2
Dr Gillian Smith (appointed 11 February 2015) Dr PJ Byrne (appointed 16 April 2015)
Bankers
Dr Frances O’Callaghan (appointed 16 April 2015)
Bank of Ireland, 1 Main Street, Dundrum, Dublin 14 Allied Irish Bank, 33 Blackthorn Road, Sandyford, Dublin 18
Company secretary
Permanent TSB, Main Street, Dundrum, Dublin 14
Dr Maher Kemmoona
Solicitors O'Connor & Co., 8 Clare Street, Dublin 2
30
Irish Dental Association | Annual Report 2015
Financial risk management objective policies
Going concern
The company has budgetary and financial reporting procedures, supported by
The Directors have reviewed budgets, projected cash flows and all other relevant
appropriate key performance indicators, to manage credit, liquidity and other
information and, on the basis of this review, can reasonably assume that the
financial risk. All key financial figures are monitored on an ongoing basis.
company has adequate financial resources to continue in operational existence for the foreseeable future. Consequently, the Directors consider it appropriate to prepare
Accounting records
the financial statements on a going concern basis.
The measures taken by the Directors to ensure compliance with the requirements of Sections 281 to 285 of the Companies Act 2014 with regard to the keeping
Auditors
of accounting records, are the employment of appropriately qualified accounting
The auditors, Grant Thornton, continue in office in accordance with section
personnel and the maintenance of computerised accounting systems. The
383(2) of the Companies Act 2014.
company's accounting records are maintained at the company's registered office at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18.
Important events since the year end There have been no significant events affecting the company since the year end.
This report was approved by the Board and signed on its behalf.
______________________________
______________________________
Dr Anne Twomey
Dr Ronan Perry
Director
Director Approved by the Directors on March 11, 2016
Irish Dental Association | Annual Report 2015 31
DIRECTORS’ RESPONSIBILITIES STATEmENT
The Directors are responsible for preparing the Directors’ Report and the financial statements in accordance with Irish law and regulations.
Irish company law requires the Directors to prepare financial statements for each financial year giving a true and fair view of the state of affairs of the Company for each financial year. Under the law, the Directors have elected to prepare the financial statements in accordance with Generally Accepted Accounting Practice
n n
make judgments and accounting estimates that are reasonable and prudent; and, prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Company will continue in business.
in Ireland, including Financial Reporting Standard 102 ‘The Financial Reporting and
The Directors are responsible for ensuring that the Company keeps or causes
promulgated by the Institute of Chartered Accountants in Ireland and Irish law.
to be kept adequate accounting records, which correctly explain and record the
Under company law, the Directors must not approve the financial statements
transactions of the Company, enable at any time the assets, liabilities, financial
unless they are satisfied that they give a true and fair view of the assets,
position and profit or loss of the Company to be determined with reasonable
liabilities and financial position of the Company for the financial year end date,
accuracy, enable them to ensure that the financial statements and Directors'
of the profit or loss of the company for that financial year, and otherwise comply
Report comply with the Companies Act 2014 and enable the financial
Standard
applicable
in
the
UK
and
Republic
of
Ireland'
with the Companies Act 2014.
statements to be audited. They are also responsible for safeguarding the assets
In preparing these financial statements, the Directors are required to:
of the Company and hence for taking reasonable steps for the prevention and
n
select suitable accounting policies and then apply them consistently;
detection of fraud and other irregularities.
On behalf of the board
______________________________
______________________________
Dr Anne Twomey
Dr Ronan Perry
Director
Director
Approved by the Directors on March 11, 2016
32
Irish Dental Association | Annual Report 2015
INDEPENDENT AuDITOR’S REPORT
We have audited the financial statements of The Irish Dental Association Limited for the year ended 31 December 2015, which comprise the Profit and loss account, the Balance sheet, the Cash flow statement and the related notes.
The financial reporting framework that has been applied in their preparation is Irish
and to identify any information that is apparently materially incorrect based on, or
Law and Accounting Standards issued by the Financial Reporting Council and
materially inconsistent with, the knowledge acquired by us in the course of
promulgated by the Institute of Chartered Accountants in Ireland including FRS 102
performing the audit. If we become aware of any apparent material misstatements
‘The Financial Reporting Standard applicable in the UK and Republic of
or
inconsistencies
we
consider
the
implications
for
our
report.
Ireland’. This report is made solely to the Company's members, as a body, in accordance with
Opinion on financial statements
Section 391 of the Companies Act 2014. Our audit work has been
In our opinion the financial statements:
undertaken so that we might state to the Company's members those matters we
n
give a true and fair view, in accordance with Generally Accepted Accounting Practice in Ireland, of the assets, liabilities and financial position of the
are required to state to them in an Auditors' Report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to
Company as at 31 December 2015, and of its loss for the year then ended;
anyone other than the Company and the Company's members as a body, for our
and,
audit work, for this report, or for the opinions we have formed.
n have been properly prepared in accordance with the requirements of the Companies Act, 2014.
Respective responsibilities of directors and auditors As explained more fully in the Directors' Responsibilities Statement, the Directors are responsible for the preparation of the financial statements giving a true and fair view and otherwise complying with the Companies Act 2014. Our responsibility is to audit and express an opinion on the financial statements in accordance with Irish law and International Standards on Auditing (UK and Ireland). Those standards require us to comply with the Auditing Practices Board's Ethical
Matters on which we are required to report by the Companies Acts 1963 to 2013 n n
We have obtained all the information and explanations which we consider necessary for the purposes of our audit. In our opinion the accounting records of the Company were sufficient to permit the financial statements to be readily and properly audited.
Standards for Auditors.
n
Scope of the audit of the financial statements
Matters on which we are required to report by exception
An audit involves obtaining evidence about the amounts and disclosures in the
We have nothing to report in respect of the provisions in the Companies Acts 1963
financial statements sufficient to give reasonable assurance that the financial
to 2013 which require us to report to you if, in our opinion, the disclosures of
statements are free from material misstatement, whether caused by fraud or error.
directors' remuneration and transactions specified by law are not made.
The financial statements are in agreement with the accounting records.
This includes an assessment of: whether the accounting policies are appropriate to the Company's circumstances and have been consistently applied
Kevin Foley ACA
and adequately disclosed; the reasonableness of significant accounting estimates
For and on behalf of Grant Thornton
made by the directors; and the overall presentation of the financial statements.
Chartered Accountants & Registered Auditor
In addition, we read all the financial and non-financial information in the Directors'
24 - 26 City Quay, Dublin 2
Report to identify material inconsistencies with the audited financial statements
March 11, 2016
Irish Dental Association | Annual Report 2015 33
STATEMENT OF INCOME AND RETAINED EARNINGS YEAR ENDED DECEMBER 31, 2015
2015 ¤
2014 ¤
527,687
519,023
527,687 (554,141)
519,023 (518,492)
Note Turnover
Gross Profit Administrative expenses Operating (loss) / profit Staff pension contributions Rates and water
6 7
(26,454) 601 (2,677)
531 249 (3,353)
Loss before tax Tax on loss
8
(28,530) (2,076)
(2,573) (1,491)
Loss after tax
(30,606)
(4,064)
Retained earnings at the beginning of the year
(18,093)
(14,029)
(18,093)
(14,029)
(30,606) (48,699)
(4,064) (18,093)
Loss for the year Retained earnings at the end of the year All amounts relate to continuing operations.
Signed on behalf of the Executive Committee on 11th March 2016 by
______________________________
______________________________
Dr Anne Twomey
Dr Ronan Perry
Director
34
Irish Dental Association | Annual Report 2015
Director
STATEMENT OF FINANCIAL POSITION AS AT DECEMBER 31, 2015
Note
FIXED ASSETS Tangible assets
2015 ¤
9
2015 ¤
2014 ¤
468,800
482,083
468,800
482,083
CURRENT ASSETS Debtors: amounts falling due within one year Cash at bank and in hand
10 11
294,288 93,965 _______ 388,253
249,017 115,536 _______ 364,553
Creditors: amounts falling due within one year
12
(477,144)
(415,787)
_______
_______
NET CURRENT ASSETS
2014 ¤
(88,891) _______ 379,909
(51,234) _______ 430,849
(170,620) _______
(190,954) _______
NET ASSETS
209,289
239,895
CAPITAL AND RESERVES Other reserves Profit and loss account
257,988 (48,699)
257,988 (18,093)
SHAREHOLDERS’ FUNDS
_______ 209,289
_______ 239,895
TOTAL ASSETS LESS CURRENT LIABILITIES Creditors: amounts falling due after more than one year
13
The financial statements were approved and authorised for issue by the board on 11th March 2016.
Signed on behalf of the board on 11th March 2016 by
______________________________
______________________________
Dr Anne Twomey
Dr Ronan Perry
Director
Director
The notes on pages 37 to 45 form part of these financial statements.
Irish Dental Association | Annual Report 2015 35
STATEMENT OF CASH FLOWS YEAR ENDED DECEMBER 31, 2015
2015 ¤
2014 ¤
(30,606)
(4,064)
17,111 2,677 (601) 2,076 (45,271) 130,711 (70,406) (1,508) _______ 4,183 _______
17,286 3,353 (249) 1,491 83,594 (72,640) (51,152) (1,491) _______ (23,872) _______
(3,828) 601 _______ (3,227) _______
(1,021) 249 _______ (772) _______
(19,850) (2,677) _______ (22,527) _______ (21,571) 115,536 _______ 93,965
(19,382) (3,353) _______ (22,735) _______ (47,379) 162,915 _______ 115,536
93,965 _______ 93,965
115,536 _______ 115,536
Cash flows from operating activities (Loss) for the financial year Adjustments for: Depreciation of tangible assets Interest paid Interest received Taxation (Increase)/ Decrease in debtors Increase / (Decrease) in creditors (Decrease) in amounts owed to related parties Corporation tax
Net cash generated from operating activities Cash flows from investing activities Purchase of tangible fixed assets Interest received Net cash from investing activities
Cash flows from financing activities Repayment of loans Interest paid Net cash used in financing activities Net (decrease) in cash and cash equivalents Cash and cash equivalents at beginning of year Cash and cash equivalents at the end of year
Cash at bank and in hand
36
Irish Dental Association | Annual Report 2015
NOTES TO THE FINANCIAL STATEMENTS YEAR ENDED DECEMBER 31, 2015
1. ACCOUNTING POLICIES 1.1 Company information The Irish Dental Association Limited is a company limited by guarantee, which is
All borrowing costs are recognised in the Income Statement in the year in which
registered and incorporated in the Republic of Ireland. The company's registered
they are incurred.
office is at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18.
Depreciation is charged so as to allocate the cost of assets less their residual value over their estimated useful lives, using the straight line method. The estimated
1.2 Basis of preparation of financial statements
useful lives range as follows:
The financial statements have been prepared in accordance with Financial Reporting Standard 102, the Financial Reporting Standard applicable in the United
Depreciation is provided on the following bases:
Kingdom and the Republic of Ireland and Irish statute comprising of the Companies
Freehold Land & Buildings
Act 2014.
Fixtures, Fittings & Equipment
2%
Straight Line
20%
Straight Line
Information on the impact of first time adoption of FRS 102 is given in note 19. The preparation of financial statements in compliance with FRS 102 requires the
The assets' residual values, useful lives and depreciation methods are reviewed,
use of certain critical accounting estimates. It also requires management to exercise
and adjusted prospectively if appropriate, or if there is an indication of a significant
judgment in applying the Company's accounting policies (see note 2).
change since the last reporting date.
The following principal accounting policies have been applied:
Gains and losses on disposals are determined by comparing the proceeds with the carrying amount and are recognised within 'other operating income' in the
1.3 Going concern
Statement of Income and Retained Earnings.
The directors have reviewed budgets, projected cash flows and all other relevant information and, on the basis of this review, can reasonably assume that the
1.6 Operating leases: Lessee
company has adequate financial resources to continue in operational existence for
Rentals paid under operating leases are charged to the profit or loss on a straight
the foreseeable future. Consequently, the directors consider it appropriate to
line basis over the period of the lease.
prepare the financial statements on a going concern basis. 1.7 Post-retirement benefit 1.4 Revenue
The company has agreed to provide certain additional post-retirement benefits
Revenue is recognised to the extent that it is probable that the economic benefits
to selected senior employees. The estimated cost of providing such benefits is
will flow to the Company and the revenue can be reliably measured. Revenue is
charged against profits on a systematic basis over the employees' working lives
measured as the fair value of the consideration received or receivable, excluding
within the company.
discounts, rebates, value added tax and other sales taxes. 1.8 Debtors 1.5 Tangible fixed assets
Short-term debtors are measured at transaction price, less any impairment. Loans
Tangible fixed assets under the cost model are stated at historical cost less
receivable are measured initially at fair value, net of transaction costs, and are
accumulated depreciation and any accumulated impairment losses. Historical cost
measured subsequently at amortised cost using the effective interest method,
includes expenditure that is directly attributable to bringing the asset to the
less any impairment.
location and condition necessary for it to be capable of operating in the manner intended by management.
1.9 Financial instruments
The Company adds to the carrying amount of an item of fixed assets the cost of
The Company only enters into basic financial instruments transactions that result
replacing part of such an item when that cost is incurred, if the replacement part
in the recognition of financial assets and liabilities like trade and other accounts
is expected to provide incremental future benefits to the Company. The carrying
receivable and payable, loans from banks and other third parties, loans to related
amount of the replaced part is derecognised. Repairs and maintenance are charged
parties and investments in non-puttable ordinary shares.
to profit or loss during the period in which they are incurred.
Debt instruments (other than those wholly repayable or receivable within one
Irish Dental Association | Annual Report 2015 37
year), including loans and other accounts receivable and payable, are initially
the effective interest method so that the amount charged is at a constant rate on
measured at present value of the future cash flows and subsequently at
the carrying amount. Issue costs are initially recognised as a reduction in the
amortised cost using the effective interest method. Debt instruments that are
proceeds of the associated capital instrument.
payable or receivable within one year, typically trade payables or receivables, are measured, initially and subsequently, at the undiscounted amount of the cash
1.12 Pensions
or other consideration, expected to be paid or received. However, if the
Defined contribution pension plan
arrangements of a short-term instrument constitute a financing transaction, like
The Company operates a defined contribution plan for its employees. A defined
the payment of a trade debt deferred beyond normal business terms or financed
contribution plan is a pension plan under which the Company pays fixed
at a rate of interest that is not a market rate, or in case of an outright short-term
contributions into a separate entity. Once the contributions have been paid the
loan not at market rate, the financial asset or liability is measured, initially, at
Company has no further payment obligations.
the present value of the future cash flow discounted at a market rate of interest
The contributions are recognised as an expense in the Income Statement when
for a similar debt instrument and subsequently at amortised cost.
they fall due. Amounts not paid are shown in accruals as a liability in the Statement
Investments in non-convertible preference shares and in non-puttable ordinary
of Financial Position. The assets of the plan are held separately from the Company
and preference shares are measured:
in independently administered funds.
i) at fair value with changes recognised in the Income Statement if the shares are publicly traded or their fair value can otherwise be measured reliably; ii) at cost less impairment for all other investments.
1.13 Interest income Interest income is recognised in the Income Statement using the effective interest method.
Financial assets that are measured at cost and amortised cost are assessed at the end of each reporting period for objective evidence of impairment. If
1.14 Borrowing costs
objective evidence of impairment is found, an impairment loss is recognised in
All borrowing costs are recognised in the Income Statement in the year in which
the Income Statement.
they are incurred.
For financial assets measured at amortised cost, the impairment loss is measured as the difference between an asset's carrying amount and the present value of
1.15 Taxation
estimated cash flows discounted at the asset's original effective interest rate. If a
Tax is recognised in the Income Statement, except that a change attributable to
financial asset has a variable interest rate, the discount rate for measuring any
an item of income and expense recognised as other comprehensive income or to
impairment loss is the current effective interest rate determined under the contract.
an item recognised directly in equity is also recognised in other comprehensive
For financial assets measured at cost less impairment, the impairment loss is
income or directly in equity, respectively.
measured as the difference between an asset's carrying amount and best
The current income tax charge is calculated on the basis of tax rates and laws that
estimate, which is an approximation of the amount that the Company would
have been enacted or substantively enacted by the reporting date in the countries
receive for the asset if it were to be sold at the reporting date.
where the Company operates and generates income.
Financial assets and liabilities are offset and the net amount reported in the
Deferred tax is recognised in respect of all timing differences at the reporting date,
Statement of Financial Position when there is an enforceable right to set off the
except as otherwise indicated. Deferred tax assets are only recognised to the extent
recognised amounts and there is an intention to settle on a net basis or to realise
that it is probable that they will be recovered against the reversal of deferred tax
the asset and settle the liability simultaneously.
liabilities or other future taxable profits. Deferred tax is calculated using the tax rates and laws that have been enacted or substantially enacted by the reporting
1.10 Creditors Short-term creditors are measured at the transaction price. Other financial liabilities, including bank loans, are measured initially at fair value, net of transaction costs, and are measured subsequently at amortised cost using the effective interest method.
1.11 Finance costs Finance costs are charged to the Income Statement over the term of the debt using
38
Irish Dental Association | Annual Report 2015
date that are expected to apply to the reversal of the timing difference.
2. JUDGMENTS IN APPLYING ACCOUNTING POLICIES AND KEY SOURCES OF ESTIMATION UNCERTAINTY
3. ANALYSIS OF TURNOVER An analysis of turnover by class of business is as follows:
When preparing the financial statements, management makes a number of judgements, estimates and assumptions about the recognition and measurement of assets, liabilities, income and expenses. Membership subscriptions Significant management judgement
Journals and classified ads
The following are significant management judgements in applying the accounting
Accreditation
policies of the company that have the most significant effect on the financial
Other
statements.
2015
2014
¤
¤
264,040
258,583
44,744
34,199
130,000
110,417
88,903
115,824
______
______
527,687
519,023
Going concern As described in the basis of preparation and going concern in Note 1 above, the validity of the going concern basis is dependent upon the company meeting the cashflows prepared to cover costs as they arise. After reviewing budgets, projected
An analysis of turnover by country of destination:
cash flows and all other relevant information and, on the basis of this review, the Directors have a reasonable expectation that the company will meet its liabilities
2015
2014
as they arise and will have adequate resources to continue in operational existence
¤
¤
527,687
519,023
______
______
527,687
519,023
for the foreseeable future. For these reasons the Directors continue to adopt the
Ireland
going concern basis of accounting in preparing the financial statements.
Estimation uncertainty Information about estimates and assumptions that have the most significant effect on recognition and measurement of assets, liabilities, income and expenses is provided below. Actual results may be substantially different.
4. (LOSS)/PROFIT ON ORDINARY ACTIVITIES BEFORE TAXATION
Useful lives of depreciable assets The annual depreciation charge depends primarily on the estimated lives of each
The operating profit is stated after charging/(crediting):
type of asset and, in certain circumstances, estimates of fair values and residual values. The Directors annually review these asset lives and adjust them as necessary to reflect current thinking on remaining lives. Changes in asset lives can have significant impact on depreciation charges for the period. It is not
Depreciation of tangible fixed
practical to quantify the impact of changes in asset lives on an overall basis, as
assets
asset lives are individually determined. The impact of any change would vary
Fees payable to the company's
significantly depending on the individual changes in assets and the classes of
auditor and its associates for the
assets impacted.
audit of the company's annual accounts
2015
2014
¤
¤
17,111
17,286
9,102
9,102
18,251
18,156
Defined contribution pension cost
Irish Dental Association | Annual Report 2015 39
5. EMPLOYEES
6. INTEREST RECEIVABLE
Staff costs were as follows:
2015
2015
2014
¤
¤
Wages and salaries
210,479
202,209
Social security costs
22,603
21,758
18,251 ______ 251,333
18,156 ______ 242,123
Other interest receivable
2014
¤
¤
601
249
______ 601
______ 249
Cost of defined contribution scheme
7. INTEREST PAYABLE AND SIMILAR CHARGES
2015
Included in wages and salaries is an amount of ¤84,646 (2014: ¤84,386) in relation to remuneration to the Chief Executive. Capitalised employee costs during the year amounted to ¤NIL (2014 ¤NIL). The average monthly number of employees, including the directors, during the year was as follows:
Number of administrative staff
40
2015
2014
¤
¤
4
4
Irish Dental Association | Annual Report 2015
Bank interest payable
2014
¤
¤
2,677
3,353
______
______
2,677
3,353
8. TAXATION
2015
2014
¤
¤
2,076
150
_______
1,341 _______
2,076
1,491
Corporation tax Current tax on profits for the year Adjustments in respect of previous periods Tax on loss on ordinary activities
Factors affecting tax charge for the year
The tax assessed for the year is the same as the standard rate of Corporation Tax in Ireland of 12.5% (2014 – 12.5%) as set out below:.
(Loss) / profit on ordinary activities before tax
2015
2014
¤
¤
(28,530)
(2,573)
(3,566))
(322)
(Loss) / profit on ordinary activities multiplied by standard rate of Corporation Tax in Ireland of 12.5% (2014 – 12.5%)
Effects of: Expenses not deductible for tax purposes, other than goodwill amortisation and impairment
143
878
Adjustments to tax charge in respect of prior periods
1,199
1,341
Short-term timing difference leading to an increase (decrease) in taxation
1,925
1,551
Unrelieved tax losses carried forward
2,300
(1,988)
Unrelieved loss on disposal of operation
Total tax charge for the year
75
31
_______
_______
2,076
1,491
Factors that may affect future tax charges There are unutilised tax losses forward of ¤121,752 to be set against future trading profits. An asset has not been recognised as it is uncertain as to when they will be utilised.
Irish Dental Association | Annual Report 2015 41
9. TANGIBLE FIXED ASSETS
Land & Buildings Freehold ¤
Fixtures, Fittings & Equipment ¤
Total
¤
Cost or valuation At 1 January 2015 Additions At 31 December 2015
Depreciation At 1 January 2015 Charge owed for the period At 31 December 2015 Net book value At 31 December 2015 At 31 December 2014
_____
_____
_____
_____
_____
_____
458,375
10,425
468,800
467,875
14,208
482,083
475,000 -
_____ 475,000
7,125 9,500
_____ 16,625
186,733 3,828
_____
190,561
172,525 7,611
_____
180,136
661,733 3,828
_____
665,561
179,650 17,111
_____
196,761
On 31st March 2014 the directors reviewed the carrying value of the freehold land and buildings and obtained an independent valuation from Mr Jason Fielden and Mr Brian Gibson of Lisney. Given the current uncertainty in the Irish property market, they consider the property's recoverable amount to be ¤475,000 (original cost ¤1,500,588), which resulted in an impairment of ¤794,431 in the financial statement for the year ended 31 December 2013.
Freehold Property
Office Equipment
Total
¤
¤
¤
Cost or valuation At 1 January 2014 Additions At 31 December 2014
Depreciation At 1 January 2014 Charge owed for the period At 31 December 2014 Net book value At 31 December 2014 At 31 December 2013
42
Irish Dental Association | Annual Report 2015
_____ 475,000 -
_____ 475,000
-
_____
_____
_____
162,364
162,364
185,712 1,021
_____
186,733
660,712 1,021
_____
661,733
_____
_____
467,875
14,208
482,083
475,000
23,348
498,348
7,125
_____ 7,125
10,161
_____
172,525
17,286
_____
179,650
10. DEBTORS
Other debtors
2015
2014
¤ 256,609
¤ 211,247
-
2,453
Corporation tax repayable Prepayments
37,679
35,317
_______
_______
294,288
249,017
2015
2014
¤ 93,965
¤ 115,536
_______
_______
93,965
115,536
All amounts are receivable within one year.
11. CASH AND CASH EQUIVALENTS
Cash at bank and in hand
12. CREDITORS: AMOUNTS FALLING DUE WITHIN ONE YEAR
Bank loans Trade creditors Amounts owed to related parties Corporation Tax Taxation and social security Accruals Deferred income
2015
2014
¤ 20,395
¤ 19,911
119,424
119,009
11,855
82,261
568
-
26,706
21,468
29,730
30,216
268,466
142,922
_______
_______
477,144
415,787
Trade creditors are payable at various dates over the coming months in accordance with the suppliers’ usual and customary credit terms. Corporation Tax and other taxes including social insurance are repayable at various dates over the coming months in accordance with the applicable statutory provisions. Amounts owed to related undertakings are unsecured, interest free and are repayable on demand. The terms of the accruals and deferred income are based on the underlying contracts.
Irish Dental Association | Annual Report 2015 43
2015
2014
¤
¤
Other taxation and social security PAYE control
26,706
21,468
_______
_______
26,706
21,468
Secured loans The bank loans are secured on the property at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18.
13. CREDITORS: AMOUNTS FALLING DUE AFTER MORE THAN ONE YEAR
Bank loans
2015
2014
¤ 170,620
¤ 190,954
_______
_______
170,620
190,954
Secured loans The bank loans are secured on the property at Unit 2 Leopardstown Office Park, Sandyford, Dublin 18.
14. LOANS Analysis of the maturity of loans is given below: 2015
2014
¤
¤
20,395
19,911
_______
_______
20,395
19,911
_______
_______
Amounts falling due within one year Bank loans
Amounts falling due within one to two years Bank loans
44
Irish Dental Association | Annual Report 2015
170,620
190,954
_______
_______
170,620
190,954
_______
_______
15. FINANCIAL INSTRUMENTS
2015
2014
¤
¤
256,609
213,700
340,169
360,090
Financial assets Financial assets that are debt instruments measured at amortised cost Financial liabilities Financial liabilities measured at amortised cost
16. RESERVES Other reserves Other reserves account includes all current and prior period movements in the capital reserve.
Profit and loss account Profit and loss account includes all current and prior period retained profits and losses.
17. COMPANY STATUS The Company is limited by guarantee and consequently does not have share capital. Each of the members is liable to contribute an amount not exceeding ¤1.27 towards the assets of the Company in the event of liquidation.
18. RELATED PARTY TRANSACTIONS The Irish Dental Association Limited is related to the Irish Dental Union. During the year, the Irish Dental Association collected subscriptions on behalf of the Irish Dental Union of ¤787,349 (2014: ¤776,058). The Irish Dental Association Limited paid expenses totalling ¤508,456 (2014: ¤558,458) on behalf of the Irish Dental Union. During the year the Irish Dental Association paid ¤349,300 to the Irish Dental Union. The balance owing to the Irish Dental Union at the year end was ¤11,855 (2014: ¤82,261). There are no further transactions with related parties during the year.
19. FIRST TIME ADOPTION OF FRS 102 The policies applied under the entity's previous accounting framework are not materially different to FRS 102 and have not impacted on equity or profit or loss.
20. APPROVAL OF FINANCIAL STATEMENTS The Board of Directors approved these financial statements for issue on 11 March 2016.
Irish Dental Association | Annual Report 2015 45
DETAILED PROFIT AND LOSS ACCOUNT YEAR ENDED DECEMBER 31, 2015
Turnover Gross profit
Less: overheads Administration expenses Operating (loss)/profit
Interest receivable Interest payable Tax on profit on ordinary activities Loss for the year
46
Irish Dental Association | Annual Report 2015
2015
2014
¤
¤
_____
_____
_______ 527,687
_______ 519,023
_____
_____
601 (2,677) (2,076)
249 (3,353) (1,491)
527,687 527,687
(554,141) (26,454)
_____ (30,606) _____
519,023 519,023
(518,492) 531
_____ (4,064) _____
SCHEDULE TO THE DETAILED ACCOUNTS YEAR ENDED DECEMBER 31, 2015
2015
2014
¤
¤
264,040 44,744 130,000 88,903
258,583 34,199 110,417 115,824
527,687
519,023
2015
2014
¤
¤
Staff salaries
210,479
202,209
Staff private health insurance Staff national insurance Staff pension costs – defined contribution schemes Staff training Hotels, travel and subsistence Printing and stationery Telephone and fax Trade subscriptions Charity donations Legal and professional Auditors' remuneration Equipment leasing (operational) Bank charges Sundry expenses Rates Light and heat Insurances Repairs and maintenance Depreciation – freehold property CPD assist software Council of European Dentists meeting costs Meetings, delegations and courses Presidential expenses
9,287 22,603 18,251 2,406 3,977 68,556 6,942 8,300 4,708 13,358 9,102 3,980 5,670 7,260 4,750 3,361 2,567 8,363 17,111 8,487 18,202 4,560 3,780 _______ 466,060
10,828 21,758 18,156 987 4,694 77,569 7,015 7,082 1,300 19,232 9,102 5,135 6,353 7,918 5,005 3,339 2,458 8,391 17,286 8,241 10,860 3,682 1,524 _______ 460,124
Turnover Membership subscriptions Journals and classified ads Accreditation Other
Sub-total carried forward
Irish Dental Association | Annual Report 2015 47
SCHEDULE TO THE DETAILED ACCOUNTS CONTINUED YEAR ENDED DECEMBER 31, 2015
2015
2014
¤
¤
Sub-total brought forward
466,060
460,124
Public relations and advertising Learning management systems
26,629 61,452 _______ 554,141
27,365 31,003 _______ 518,492
2015
2014
¤
¤
601 _______ 601
249 _______ 249
2015
2014
¤
¤
2,677 _______ 2,677
3,353 _______ 3,353
Bank interest receivable
Bank loan interest payable
48
Irish Dental Association | Annual Report 2015
mOTIONS
Motion Number 1
Motion Number 2
Motion Number 3
That the audited accounts and report thereon for
That this AGM appoints Grant Thornton, Chartered
That this AGM authorises the Directors to fix the
the year ended December 31, 2015, be accepted.
Accountants, as auditors to hold office until the
remuneration of the auditors.
conclusion of the next Annual General Meeting at which accounts are laid.
Proposed by
Dr Ronan Perry
Proposed by
Dr Ronan Perry
Proposed by
Dr Ronan Perry
Seconded
Dr Maher Kemmoona
Seconded
Dr Maher Kemmoona
Seconded
Dr Maher Kemmoona
Motion Number 4
Motion Number 5
Motion Number 6
That a presentation on the current state of
The Irish Dental Association calls on the Department
That the Irish Dental Association calls on HSE senior
governance practice shall be provided by the
of Health to urgently introduce an appropriate
management and the Assistant National Director for
outgoing President to the IDA AGM annually.
Foundation Training Scheme to meet the needs of
Oral Health to implement a permanent resolution to
new dental graduates.
the existing national crisis in the provision of general anaesthetic services for dental patients. We also call on the Minister for Health to direct the HSE to ensure
Proposed by
Dr PJ Byrne
Proposed by
Dr PJ Byrne
that children waiting for dental treatment under
Seconded
Dr Anne Twomey
Seconded
Dr Frances O’Callaghan
general anaesthesia are treated equally to children on waiting lists for other surgical procedures.
Proposed by
Dr Frances O’Callaghan
Seconded
Dr Michaela Dalton
Motion Number 7 That, in recognition of the Minister for Health's introduction of free GP care for children under 6, the Irish Dental Association now calls on the Minister to implement a policy, supported by the required funding, to put in place comprehensive oral health care programmes for children under 6.
Proposed by
Dr Jane Renehan
Seconded
Dr Frances O’Callaghan
Irish Dental Association | Annual Report 2015 49
mOTIONS 2015 – ACTIONS
Motion Number 4
Motion Number 5
That the Irish Dental Association calls on HSE senior management and the National
That the Irish Dental Association calls on HSE senior management and the National
Oral Health Lead to implement, as a matter of priority, a permanent resolution to
Oral Health Lead to ensure timely access for special needs patient groups to dental
the existing national crisis of access to emergency dental services for young children
services under general anaesthesia or sedation as appropriate.
requiring extraction under general anaesthesia.
Proposed by
Dr Ronan Perry
Seconded
Dr Maher Kemmoona
Proposed by
Dr PJ Byrne
Seconded
Dr Anne Twomey
Action In October 2015, the IDA Chief Executive wrote to the Minister for Health, Dr Leo
caries, and also acknowledge the serious burden that this places on patients and
Varadkar, on the issue of access to dental services under general anaesthesic as
their families, and the acute hospital service in general.
follows:
We are aware that, while funding levels have been declared at headline level in the
“Dear Dr Varadkar
wake of the recent Budget for the health service, the 2016 service plan for the HSE
I refer to the recent public debate about the difficulties apparent in the oral health
is still in preparation. You will recall previous representations made by the Association
of our children and welcome a timely and comprehensive audit of the extent to
and the National Oral Health Forum, which suggested urgent need for investment
which children are being admitted for dental treatments under general anaesthetic
in systems of oral health care, particularly for under sixes, akin to the changes
in our hospitals.
introduced for medical care, and we would commend this strongly once more.
The Association believes that the extent of this problem is greater than existing
We would also hope that the new HSE service plan will confirm an intention to
official statistics suggest and we would be most anxious to be consulted on the
increase the number of dental surgeons employed by the HSE and that favourable
administration and system of collection, the methodology and basis for calculation
consideration would also be given to a number of other proposals including the
of such statistical recording systems in the future. We are acutely aware that
introduction of a model similar to the Child Smile model, which has been very
persistent and complex discussion of statistical methods and information may on
successful is Scotland, as well as our call for the re-introduction of a foundation
occasion deflect from the urgency of patient care and important clinical issues.
training scheme for young dentists, which again will be of great benefit to public
It is commonly accepted that there has been a significant deterioration in the level
service dentistry.
of service provided and particularly the extent to which preventive care and
Finally, it is our view that the alarming deterioration in oral health, for the worst
screening is taking place in schools, with the consequence that children are seeing
affected quartile in particular, is also closely linked to the cuts in benefits available
their dentist for the first time at far too late a stage in their development.
to adults under the medical card and PRSI dental schemes, and we would again plead
Furthermore, the HSE has accepted that the current staffing levels in the Public
for restoration of essential treatments as of right under the DTSS, given that the
Dental Service of around 300 are well below levels of up to 387 that pertained in
Government has failed again to restore PRSI dental benefits for 2016. We would
2008 as confirmed last week. Increased dental employment levels and appropriately
welcome a meeting at your earliest convenience to assist in this important discussion.”
directed staff resource allocation are urgently required. Difficulties in arranging access to secondary care emerged as the single greatest cause
The letter followed a successful media campaign whereby the IDA
of stress to our members employed by the HSE and surveyed in the past month. The
highlighted issues of children’s oral health and, in particular, the number of children
shocking nature of many of the individual case histories highlighted at our recent
requiring tooth extraction under general anaesthetic. In addition to articles in many
annual conference, which I would be happy to share with you, only served to illustrate
newspapers, IDA Chief Executive Fintan Hourihan, President Dr Anne Twomey and
and explain this anxiety among dentists trained to care for and to treat children.
other representatives were interviewed on local and national radio, and appeared
We also note with concern the published information and ongoing clinical research
on television news bulletins. The HSE disputed IDA figures and said that it is
in regard to the alarming number of adult patients attending the acute hospital
planning a national audit on general anaesthetic waiting lists for children and for
service with serious head and neck infections as a consequence of untreated dental
those with special care and special needs.
50
Irish Dental Association | Annual Report 2015
Irish Dental Association | Annual Report 2015 51
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